| Jericho Consulting Inc. | |
|
27 Liberty Square Mall Stony Point NY 10980-2400 | |
| (845) 300-7972 | |
| (845) 270-7938 |
| Full Name | Jericho Consulting Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27 Liberty Square Mall, Stony Point, New York |
| Authorized Official Name and Position | Rafaelina Mercedes Acosta (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8453007972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jericho Consulting Inc. 48 Clove Ave Haverstraw NY 10927-1804 Ph: (845) 300-7972 | Jericho Consulting Inc. 27 Liberty Square Mall Stony Point NY 10980-2400 Ph: (845) 300-7972 |
| NPI Number | 1306950977 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306950977 | NPI | - | NPPES |
| 1062740 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 071021 (New York) | Primary |
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