| Cardio Behavioral Health The Attention Deficit Worshop | |
|
2291 Victory Boulevard Staten Island NY 10314 | |
| (718) 477-0228 | |
| (718) 477-0228 |
| Full Name | Cardio Behavioral Health The Attention Deficit Worshop |
|---|---|
| Speciality | Psychologist |
| Location | 2291 Victory Boulevard, Staten Island, New York |
| Authorized Official Name and Position | Stephen J Wakschal (PRES CEO) |
| Authorized Official Contact | 7184770228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardio Behavioral Health The Attention Deficit Worshop 2291 Victory Boulevard Staten Island NY 10314 Ph: (718) 477-0228 | Cardio Behavioral Health The Attention Deficit Worshop 2291 Victory Boulevard Staten Island NY 10314 Ph: (718) 477-0228 |
| NPI Number | 1881601466 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082663612 |
|---|---|
| Medicare Enrollment ID | O20050120000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881601466 | NPI | - | NPPES |
| Provider Name | Stephen J Wakschal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033265806 PECOS PAC ID: 8820047996 Enrollment ID: I20050114000728 |
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