| Advanced Psychiatric Perspectives, Pllc | |
|
175 Memorial Hwy Ste Ll7 New Rochelle NY 10801-5642 | |
| (212) 707-8662 | |
| (212) 582-0888 |
| Full Name | Advanced Psychiatric Perspectives, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 175 Memorial Hwy Ste Ll7, New Rochelle, New York |
| Authorized Official Name and Position | Lidia Lidagoster (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9179230123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatric Perspectives, Pllc 175 Memorial Hwy Ste Ll7 New Rochelle NY 10801-5642 Ph: (212) 707-8662 | Advanced Psychiatric Perspectives, Pllc 175 Memorial Hwy Ste Ll7 New Rochelle NY 10801-5642 Ph: (212) 707-8662 |
| NPI Number | 1649368382 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 09/06/2023 |
| Certification Date | 01/28/2023 |
| Medicare PECOS PAC ID | 0648353276 |
|---|---|
| Medicare Enrollment ID | O20080206000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649368382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 198681 (New York) | Primary |
| Provider Name | Lidia Lidagoster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114903465 PECOS PAC ID: 6002853769 Enrollment ID: I20050721001056 |
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