| Restart Psychological Services Pc | |
|
821 Newburg Ave Valley Stream NY 11581-3107 | |
| (917) 657-0290 | |
| Not Available |
| Full Name | Restart Psychological Services Pc |
|---|---|
| Speciality | Psychologist - Adult Development & Aging |
| Location | 821 Newburg Ave, Valley Stream, New York |
| Authorized Official Name and Position | Yuliya Vaynrub (OFFICE MANAGER) |
| Authorized Official Contact | 9176570290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restart Psychological Services Pc 821 Newburg Ave Valley Stream NY 11581-3107 Ph: () - | Restart Psychological Services Pc 821 Newburg Ave Valley Stream NY 11581-3107 Ph: (917) 657-0290 |
| NPI Number | 1396378055 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396378055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Primary |
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