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Individual

DR. CECILIA O EUSTACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY D

Contact information

Practice address
7 FARESE WAY, AMAWALK, NY 10501-1201
(914) 962-3348
(914) 962-4332
Mailing address
PO BOX 611, YORKTOWN HTS, NY 10598-0611
(914) 962-3348
(914) 962-4332

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0085561
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001875
VALUE OPTIONS
05
00955091
NY
01
10040904
CDPHP
01
1034117
METRACOMP
01
110786
MHN
01
3344400
CIGNA
01
3440 7573
APA
01
4314843
AETNA
01
57545
UBH
01
5C0900
HEALTHNET
01
60008556NY
ANTHEM
01
703155
MTCE
01
IP332461
MAGELLAN
01
V50091
BLUE CROSS SHIELD
01
WS0001036
SELECTPRO
01
WS169
OXFORD
01
Y047097
CHAMPUS
Enumeration date
01/29/2007
Last updated
07/08/2007
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