| John T Langfitt LLC | |
|
900 Westfall Rd Ste D Rochester NY 14618-2635 | |
| (585) 831-1461 | |
| (585) 486-6289 |
| Full Name | John T Langfitt LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 Westfall Rd Ste D, Rochester, New York |
| Authorized Official Name and Position | John T Langfitt (OWNER) |
| Authorized Official Contact | 5858311461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John T Langfitt LLC 132 Eastland Ave Rochester NY 14618-1031 Ph: (585) 831-1461 | John T Langfitt LLC 900 Westfall Rd Ste D Rochester NY 14618-2635 Ph: (585) 831-1461 |
| NPI Number | 1598309353 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 03/27/2020 |
| Certification Date | 03/27/2020 |
| Medicare PECOS PAC ID | 2961996822 |
|---|---|
| Medicare Enrollment ID | O20251209002757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598309353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| Provider Name | John T Langfitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336254978 PECOS PAC ID: 2163573676 Enrollment ID: I20251209002974 |
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