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Contact Information

ADVANCED CENTER FOR PSYCHOTHERAPY
178-10 WEXFORD TERRACE
JAMAICA ESTATES, NY11432
 Phone: 718-658-1123
 Fax: 718-658-7091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ADVANCED CENTER FOR PSYCHOTHERAPY · (Female)

NPI Number 1124221437
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 00245836
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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