Organization
ADVANCED CENTER FOR PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MESTECKY MBA (ACCOUNTANT)
(718) 206-6821
Entity
Organization
Contact information
Practice address
178-10 WEXFORD TERRACE, JAMAICA ESTATES, NY 11432
(718) 739-7099
(718) 658-4641
Mailing address
178-10 WEXFORD TERRACE, JAMAICA ESTATES, NY 11432
(718) 739-7099
(718) 658-4641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245836
—
NY
Enumeration date
07/06/2006
Last updated
08/22/2020
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