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NPI Code Detail

MEDICARE: DGE PSYCHOLOGICAL SERVICES P.C.

MEDICARE: DGE PSYCHOLOGICAL SERVICES P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11750856506OTHERNYN/A

General Provider Information

NPI Number : 1255162822
Entity Type Code : Organization
Provider Name (Legal Business Name) : DGE PSYCHOLOGICAL SERVICES P.C.
Provider Business Mailing Address
First Line : 362 DEVOE AVE UNIT 473
Second Line :
City : BRONX
State : NY
Zip : 10460-9448
Country : US
Telephone Number : 914-269-8882
Fax Number :
Provider Business Practice Location Address
First Line : 362 DEVOE AVE UNIT 473
Second Line :
City : BRONX
State : NY
Zip : 10460-9448
Country : US
Telephone Number : 914-269-8882
Fax Number :
Authorized Official
Title or Position : PSYCHOLOGIST
Name : DR. VERONICA KING
Credential :
Telephone Number : 929-606-1008
Provider Enumeration Date : 08/13/2024
Last Update Date : 08/13/2024

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Directions to “DGE PSYCHOLOGICAL SERVICES P.C. ” Practice Location

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