| Joseph B. Eron, Psyd, Licensed Psychologist, P.c. | |
|
112 N Front St Kingston NY 12401-3729 | |
| (845) 338-5450 | |
| (845) 338-0949 |
| Full Name | Joseph B. Eron, Psyd, Licensed Psychologist, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 112 N Front St, Kingston, New York |
| Authorized Official Name and Position | Joseph B. Eron (PRESIDENT) |
| Authorized Official Contact | 8453385450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph B. Eron, Psyd, Licensed Psychologist, P.c. Po Box 3901 Kingston NY 12402-3901 Ph: (845) 338-5450 | Joseph B. Eron, Psyd, Licensed Psychologist, P.c. 112 N Front St Kingston NY 12401-3729 Ph: (845) 338-5450 |
| NPI Number | 1871802355 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Medicare PECOS PAC ID | 2466631445 |
|---|---|
| Medicare Enrollment ID | O20110124000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871802355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 005938 (New York) | Primary |
| Provider Name | Joseph B Eron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033223144 PECOS PAC ID: 3375722358 Enrollment ID: I20110124000002 |
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