| Psychological Stress Management Services Pc | |
|
280 Madison Ave Rm 1403 New York NY 10016-0801 | |
| (917) 566-3840 | |
| Not Available |
| Full Name | Psychological Stress Management Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 280 Madison Ave, New York, New York |
| Authorized Official Name and Position | Daniel N Guerra (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 9175663840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Stress Management Services Pc 280 Madison Ave Rm 1403 New York NY 10016-0801 Ph: (917) 566-3840 | Psychological Stress Management Services Pc 280 Madison Ave Rm 1403 New York NY 10016-0801 Ph: (917) 566-3840 |
| NPI Number | 1124137971 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 2062301534 |
|---|---|
| Medicare Enrollment ID | O20040312000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124137971 | NPI | - | NPPES |
| 02356036 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 014289 (New York) | Primary |
| Provider Name | Daniel N Guerra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003835810 PECOS PAC ID: 2961454558 Enrollment ID: I20050330000939 |
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