| Avi Avigdor, PHD | |
|
8659 Sancho St, Hollis, NY 11423-1223 | |
| (267) 333-1001 | |
| Not Available |
| Full Name | Avi Avigdor |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 8659 Sancho St, Hollis, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649613506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 020029 (New York) | Primary |
| Entity Name | United Cerebral Palsy Of New York City, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730302019 PECOS PAC ID: 4688748320 Enrollment ID: O20110414000251 |
| Entity Name | Adapt Medical Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033873153 PECOS PAC ID: 0941688048 Enrollment ID: O20220601002913 |
| Mailing Address | Practice Location Address |
|---|---|
| Avi Avigdor, PHD 8659 Sancho St, Hollis, NY 11423-1223 Ph: () - | Avi Avigdor, PHD 8659 Sancho St, Hollis, NY 11423-1223 Ph: (267) 333-1001 |
Dr. Michael Defalco, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8737 Palermo St, Hollis, NY 11423 Phone: 718-598-3505 | |
Jean A Antoine, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8854 204th St, Hollis, NY 11423 Phone: 347-558-3851 | |
Dr. Mark L. Lazarus, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8737 Palermo St, Hollis, NY 11423 Phone: 718-776-8181 | |
Jenny Dietz-samudio, MASTER OF SCIENCE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 184-10 Jamaca Ave, Hollis, NY 11423 Phone: 718-454-3584 |