Rockland Psychological Services Pllc | |
978 Route 45 Ste 104 Pomona NY 10970-3565 | |
(845) 274-0707 | |
Not Available |
Full Name | Rockland Psychological Services Pllc |
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Speciality | Psychologist |
Location | 978 Route 45 Ste 104, Pomona, New York |
Authorized Official Name and Position | Mark Benisz (OWNER) |
Authorized Official Contact | 8452740707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rockland Psychological Services Pllc 978 Route 45 Ste 104 Pomona NY 10970-3565 Ph: () - | Rockland Psychological Services Pllc 978 Route 45 Ste 104 Pomona NY 10970-3565 Ph: (845) 274-0707 |
NPI Number | 1275379737 |
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Provider Enumeration Date | 07/03/2024 |
Last Update Date | 07/24/2024 |
Certification Date | 07/24/2024 |
Medicare PECOS PAC ID | 0547709578 |
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Medicare Enrollment ID | O20240822000933 |
Identifier | Type | State | Issuer |
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1275379737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Mark Benisz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831560010 PECOS PAC ID: 7012366974 Enrollment ID: I20231218002395 |
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