Organization
MEDICASAFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW J ERVIN (CEO)
(646) 661-2537
Entity
Organization
Contact information
Practice address
131 VARICK ST, SUITE 934, NEW YORK, NY 10013-1410
(646) 612-7653
(646) 349-3796
Mailing address
131 VARICK ST, SUITE 934, NEW YORK, NY 10013-1410
(646) 612-7653
(646) 349-3796
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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