Zali Psychology Pc | |
300 International Dr Ste 100 Office 121 Williamsville NY 14221-5783 | |
(510) 387-1104 | |
(716) 727-0817 |
Full Name | Zali Psychology Pc |
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Speciality | Psychologist |
Location | 300 International Dr Ste 100, Williamsville, New York |
Authorized Official Name and Position | Gina Marie Zali (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 5103871104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zali Psychology Pc 300 International Dr Ste 100 Office 121 Williamsville NY 14221-5783 Ph: (510) 387-1104 | Zali Psychology Pc 300 International Dr Ste 100 Office 121 Williamsville NY 14221-5783 Ph: (510) 387-1104 |
NPI Number | 1467991299 |
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Provider Enumeration Date | 02/13/2017 |
Last Update Date | 02/13/2017 |
Medicare PECOS PAC ID | 4385927227 |
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Medicare Enrollment ID | O20170220001004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467991299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 021233 (New York) | Primary |
Provider Name | Gina Marie Zali |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770862807 PECOS PAC ID: 6608156310 Enrollment ID: I20161214001350 |
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