Aditya Psychiatry Pllc | |
378 Syosset Woodbury Rd Woodbury NY 11797-1200 | |
(631) 942-4480 | |
Not Available |
Full Name | Aditya Psychiatry Pllc |
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Speciality | Psychiatry & Neurology |
Location | 378 Syosset Woodbury Rd, Woodbury, New York |
Authorized Official Name and Position | Aditya Virmani (SOLE MEMBER/PSYCHIATRIST) |
Authorized Official Contact | 6319424480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aditya Psychiatry Pllc 38 N Plandome Rd Port Washington NY 11050-3423 Ph: (631) 942-4480 | Aditya Psychiatry Pllc 378 Syosset Woodbury Rd Woodbury NY 11797-1200 Ph: (631) 942-4480 |
NPI Number | 1538750617 |
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Provider Enumeration Date | 02/01/2021 |
Last Update Date | 02/01/2021 |
Certification Date | 02/01/2021 |
Medicare PECOS PAC ID | 1254748007 |
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Medicare Enrollment ID | O20210324000732 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538750617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Aditya Virmani |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356599484 PECOS PAC ID: 8123296415 Enrollment ID: I20120725000943 |
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