| Ypc | |
|
1218 Massachusetts Ave First Floor Cambridge MA 02138-3835 | |
| (617) 491-1660 | |
| (617) 491-1661 |
| Full Name | Ypc |
|---|---|
| Speciality | Psychologist |
| Location | 1218 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Craig Malkin (PRESIDENT) |
| Authorized Official Contact | 6174911660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ypc 1218 Massachusetts Ave First Floor Cambridge MA 02138-3835 Ph: (617) 491-1660 | Ypc 1218 Massachusetts Ave First Floor Cambridge MA 02138-3835 Ph: (617) 491-1660 |
| NPI Number | 1962609586 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 07/22/2007 |
| Medicare PECOS PAC ID | 0446404024 |
|---|---|
| Medicare Enrollment ID | O20160705002075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962609586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7886 (Massachusetts) | Primary |
| Provider Name | Craig E Malkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437216918 PECOS PAC ID: 5294735353 Enrollment ID: I20070115000026 |
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