MEDICARE: MEDICALPSYCH CARE, PLLC

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
1	103TH0004X	Health Psychologist

General Provider Information

NPI Number	:	1306283320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICALPSYCH CARE, PLLC

Provider Business Mailing Address
First Line	:	5 W MAIN ST
Second Line	:	SUITE 206
City	:	ELMSFORD
State	:	NY
Zip	:	10523-2416
Country	:	US
Telephone Number	:	914-345-9154
Fax Number	:	914-345-5926

Provider Business Practice Location Address
First Line	:	5 W MAIN ST
Second Line	:	SUITE 206
City	:	ELMSFORD
State	:	NY
Zip	:	10523-2416
Country	:	US
Telephone Number	:	914-345-9154
Fax Number	:	914-345-5926

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	NAVEED IQBAL
Credential	:	MD
Telephone Number	:	914-345-9154

Provider Enumeration Date	:	05/31/2013
Last Update Date	:	10/03/2013

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