| Talkspace Provider Network Ca Pc | |
|
2578 Broadway # 607 New York NY 10025-5642 | |
| (212) 284-7206 | |
| Not Available |
| Full Name | Talkspace Provider Network Ca Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2578 Broadway # 607, New York, New York |
| Authorized Official Name and Position | Varun Choudhary (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2122847206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talkspace Provider Network Ca Pc 2578 Broadway # 607 New York NY 10025-5642 Ph: (212) 284-7206 | Talkspace Provider Network Ca Pc 2578 Broadway # 607 New York NY 10025-5642 Ph: (212) 284-7206 |
| NPI Number | 1003506866 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Medicare PECOS PAC ID | 7719339548 |
|---|---|
| Medicare Enrollment ID | O20240117003713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003506866 | NPI | - | NPPES |
| Provider Name | Nikeisha Jn Parker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851684898 PECOS PAC ID: 6800248014 Enrollment ID: I20240307002354 |
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