| Psyprobill, Llc | |
|
633 Gidney Ave Suite 5 Newburgh NY 12550-2800 | |
| (845) 569-2900 | |
| (866) 619-5710 |
| Full Name | Psyprobill, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 633 Gidney Ave, Newburgh, New York |
| Authorized Official Name and Position | Wendy Keller (OWNER) |
| Authorized Official Contact | 8455692900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyprobill, Llc 633 Gidney Ave Suite 5 Newburgh NY 12550-2800 Ph: (845) 569-2900 | Psyprobill, Llc 633 Gidney Ave Suite 5 Newburgh NY 12550-2800 Ph: (845) 569-2900 |
| NPI Number | 1184076358 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/12/2016 |
| Medicare PECOS PAC ID | 5890070080 |
|---|---|
| Medicare Enrollment ID | O20170331000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184076358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 154287 (New York) | Primary |
| Provider Name | Salil Kathpalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295875714 PECOS PAC ID: 9133107220 Enrollment ID: I20040713001676 |
| Provider Name | Crystal Moschiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053089342 PECOS PAC ID: 3779972856 Enrollment ID: I20211110002831 |
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