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NPI Code Detail

MEDICARE: E & R PSYCHOLOGY, PC

MEDICARE: E & R PSYCHOLOGY, PC
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
1103T00000XPsychologist
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1619690070
Entity Type Code : Organization
Provider Name (Legal Business Name) : E & R PSYCHOLOGY, PC
Provider Business Mailing Address
First Line : 159 20TH ST STE 1B
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-1254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 159 20TH ST STE 1B
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-1254
Country : US
Telephone Number : 718-635-0518
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ERICA MILLER
Credential :
Telephone Number : 718-635-0518
Provider Enumeration Date : 09/21/2022
Last Update Date : 09/21/2022

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Directions to “E & R PSYCHOLOGY, PC ” Practice Location

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