Leah Bahadourian, | |
6143 186th St, Fresh Meadows, NY 11365-2710 | |
(646) 653-3303 | |
Not Available |
Full Name | Leah Bahadourian |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 6143 186th St, Fresh Meadows, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679958318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | P99778 (New York) | Secondary |
103TC0700X | Psychologist - Clinical | 022433 (New York) | Primary |
Entity Name | Complete Neuropsychology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659812766 PECOS PAC ID: 3870869076 Enrollment ID: O20171016001282 |
Mailing Address | Practice Location Address |
---|---|
Leah Bahadourian, 6143 186th St, Fresh Meadows, NY 11365-2710 Ph: (646) 653-3303 | Leah Bahadourian, 6143 186th St, Fresh Meadows, NY 11365-2710 Ph: (646) 653-3303 |
Danielle Amatuccio, MS. ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6725 188th St, Fresh Meadows, NY 11365 Phone: 718-454-6460 | |
Ann D Gracer, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6724 165th St, Fresh Meadows, NY 11365 Phone: 718-463-4640 Fax: 718-463-4655 | |
Dr. Gerald Leibowitz, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5835 Utopia Pkwy, 1b, Fresh Meadows, NY 11365 Phone: 347-395-9757 Fax: 718-465-4503 | |
Ms. Elissa Dua, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6725 188th St, Fresh Meadows, NY 11365 Phone: 718-454-6460 | |
Kayla Lelani Wong, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6576 160th St Apt 1k, Fresh Meadows, NY 11365 Phone: 929-498-1318 | |
Sally Bruhim, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7366 192nd St, Fresh Meadows, NY 11366 Phone: 917-974-4782 | |
Dr. Melissa Laracuenta, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 61-21 Utopia Parkway, Fresh Meadows, NY 11365 Phone: 646-706-7781 Fax: 646-706-7781 |