Acacia Psychiatric Services Pc | |
250 W 24th St Apt 5bw New York NY 10011-1703 | |
(646) 584-7109 | |
(914) 462-3599 |
Full Name | Acacia Psychiatric Services Pc |
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Speciality | Counselor |
Location | 250 W 24th St, New York, New York |
Authorized Official Name and Position | Dennis M Popeo (CEO) |
Authorized Official Contact | 6465847109 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Acacia Psychiatric Services Pc 29 West 36th Street Apt 5b New York NY 10018 Ph: (646) 584-7109 | Acacia Psychiatric Services Pc 250 W 24th St Apt 5bw New York NY 10011-1703 Ph: (646) 584-7109 |
NPI Number | 1952763963 |
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Provider Enumeration Date | 03/28/2016 |
Last Update Date | 03/15/2018 |
Identifier | Type | State | Issuer |
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1952763963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 224044 (New York) | Primary |
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