| Metropolitan Neuropsychological Consulting P.c. | |
|
440 West St Suite 302 Fort Lee NJ 07024 | |
| (917) 757-6707 | |
| Not Available |
| Full Name | Metropolitan Neuropsychological Consulting P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 440 West St, Fort Lee, New Jersey |
| Authorized Official Name and Position | Marina Shikhman (OWNER) |
| Authorized Official Contact | 9177576707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Neuropsychological Consulting P.c. 1530 Palisade Ave #25c Fort Lee NJ 07024-5471 Ph: (917) 757-0381 | Metropolitan Neuropsychological Consulting P.c. 440 West St Suite 302 Fort Lee NJ 07024 Ph: (917) 757-6707 |
| NPI Number | 1154627073 |
|---|---|
| Provider Enumeration Date | 02/10/2011 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Medicare PECOS PAC ID | 4587846555 |
|---|---|
| Medicare Enrollment ID | O20110311000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154627073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | SI4788 (New Jersey) | Primary |
| Provider Name | Marina Shikhman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578795480 PECOS PAC ID: 2860530672 Enrollment ID: I20110930000193 |
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