| Vcs Inc. | |
|
77 S Main St New City NY 10956-3511 | |
| (845) 634-5729 | |
| (845) 634-7839 |
| Full Name | Vcs Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 77 S Main St, New City, New York |
| Authorized Official Name and Position | Sarah S. Goforth (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8456345729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcs Inc. 77 S Main St New City NY 10956-3511 Ph: (845) 634-5729 | Vcs Inc. 77 S Main St New City NY 10956-3511 Ph: (845) 634-5729 |
| NPI Number | 1053617035 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Medicare PECOS PAC ID | 4486839511 |
|---|---|
| Medicare Enrollment ID | O20110504000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053617035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Richard L Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104891407 PECOS PAC ID: 7113911165 Enrollment ID: I20130320000559 |
| Provider Name | Ian Rutherfurd Laidlaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982981122 PECOS PAC ID: 0446573281 Enrollment ID: I20141230002132 |
| Provider Name | Eva Hernandez Goley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033508445 PECOS PAC ID: 4486952645 Enrollment ID: I20160421000597 |
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