| Dr Denise Granda-gilbert Clinical Psychologist, P.c. | |
|
6 Station Square Office On Street Level Forest Hills NY 11375-5234 | |
| (718) 268-8081 | |
| (718) 268-2281 |
| Full Name | Dr Denise Granda-gilbert Clinical Psychologist, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 6 Station Square, Forest Hills, New York |
| Authorized Official Name and Position | Denise Granda-gilbert (PRESIDENT) |
| Authorized Official Contact | 7182688081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Denise Granda-gilbert Clinical Psychologist, P.c. 6 Station Square Office On Street Level Forest Hills NY 11375-5234 Ph: (718) 268-8081 | Dr Denise Granda-gilbert Clinical Psychologist, P.c. 6 Station Square Office On Street Level Forest Hills NY 11375-5234 Ph: (718) 268-8081 |
| NPI Number | 1013229079 |
|---|---|
| Provider Enumeration Date | 07/07/2010 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 8325163439 |
|---|---|
| Medicare Enrollment ID | O20100914000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013229079 | NPI | - | NPPES |
| 01527191 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7280 (New York) | Primary |
| Provider Name | Denise F Granda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457341075 PECOS PAC ID: 1052436169 Enrollment ID: I20100914000006 |
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