| Cognitive Consultants, Llc | |
|
1430 Clove Rd Staten Island NY 10301-4300 | |
| (718) 667-1215 | |
| Not Available |
| Full Name | Cognitive Consultants, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1430 Clove Rd, Staten Island, New York |
| Authorized Official Name and Position | Yusuf N Modan (OWNER) |
| Authorized Official Contact | 5162426948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Consultants, Llc 3 Ascot Pl North Brunswick NJ 08902-1488 Ph: (516) 242-6948 | Cognitive Consultants, Llc 1430 Clove Rd Staten Island NY 10301-4300 Ph: (718) 667-1215 |
| NPI Number | 1235530775 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 01/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235530775 | NPI | - | NPPES |
| 1235530775 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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