Organization
SUPPORTIVE CARE OF OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MEISELS (PRESIDENT)
(845) 826-0060
Entity
Organization
Contact information
Practice address
28602 YESHIVA LN, WICKLIFFE, OH 44092-2729
(718) 506-1115
Mailing address
20 ROBERT PITT DR, UNIT 209, MONSEY, NY 10952-3330
(845) 826-0060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/10/2015
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