Selina Phan, PSYD is a
Psychologist - Clinical based in Elmhurst, New York. Selina Phan is licensed to practice in New York (license number P131636) and her current practice location is
7901 Broadway # D10-38, Elmhurst, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 334-3570.
NPI number for Selina Phan is 1548638364 and her current mailing address is 7901 Broadway # D10-38, Elmhurst, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548638364.
Healthcare Provider's Profile
| Full Name | Selina Phan |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
|---|
| Location | 7901 Broadway # D10-38, Elmhurst, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548638364
- Provider Enumeration Date: 09/10/2015
- Last Update Date: 12/13/2024
Medical Identifiers
Medical identifiers for Selina Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548638364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | P131636 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Selina Phan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Selina Phan, PSYD
7901 Broadway # D10-38,
Elmhurst, NY 11373-1329
Ph: (718) 334-3570 | Selina Phan, PSYD
7901 Broadway # D10-38,
Elmhurst, NY 11373-1329
Ph: (718) 334-3570 |
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