| New York Village Psychotherapy Lcsw P.c. | |
|
226 E 54th St Ste 400 New York NY 10022-4850 | |
| (347) 681-0764 | |
| Not Available |
| Full Name | New York Village Psychotherapy Lcsw P.c. |
|---|---|
| Speciality | Counselor |
| Location | 226 E 54th St Ste 400, New York, New York |
| Authorized Official Name and Position | Jill K. Morrison (DIRECTOR) |
| Authorized Official Contact | 3476810764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Village Psychotherapy Lcsw P.c. 14 Sydney Hill Rd Saratoga Spgs NY 12866-8598 Ph: (917) 437-0079 | New York Village Psychotherapy Lcsw P.c. 226 E 54th St Ste 400 New York NY 10022-4850 Ph: (347) 681-0764 |
| NPI Number | 1508617564 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 7618490095 |
|---|---|
| Medicare Enrollment ID | O20250326001807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508617564 | NPI | - | NPPES |
| 8081334 | Other | NY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Liam Doherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215782750 PECOS PAC ID: 7113440595 Enrollment ID: I20250326001953 |
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