Neuropsychology & Psychology Services, P.c. | |
445 Tremont St Suite 323 North Tonawanda NY 14120-6150 | |
(716) 690-2560 | |
(716) 690-2585 |
Full Name | Neuropsychology & Psychology Services, P.c. |
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Speciality | Clinical Neuropsychologist |
Location | 445 Tremont St, North Tonawanda, New York |
Authorized Official Name and Position | Michael P Santa Maria (OWNER) |
Authorized Official Contact | 7166902560 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuropsychology & Psychology Services, P.c. 445 Tremont St Suite 323 North Tonawanda NY 14120-6150 Ph: (716) 690-2560 | Neuropsychology & Psychology Services, P.c. 445 Tremont St Suite 323 North Tonawanda NY 14120-6150 Ph: (716) 690-2560 |
NPI Number | 1922276484 |
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Provider Enumeration Date | 02/18/2008 |
Last Update Date | 02/18/2008 |
Medicare PECOS PAC ID | 0244144889 |
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Medicare Enrollment ID | O20031118000091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922276484 | NPI | - | NPPES |
02186592 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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103G00000X | Clinical Neuropsychologist | 014396 (New York) | Primary |
Provider Name | Michael P Santa Maria |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356440614 PECOS PAC ID: 0749194389 Enrollment ID: I20031118000184 |
Provider Name | Bonnie Jo Woods |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1619251949 PECOS PAC ID: 8426349689 Enrollment ID: I20190125001396 |
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