| Arktina Medical Pc | |
|
70 Father Capodanno Blvd Staten Island NY 10305-4803 | |
| (718) 510-2714 | |
| Not Available |
| Full Name | Arktina Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 70 Father Capodanno Blvd, Staten Island, New York |
| Authorized Official Name and Position | Arkady Ganelin (PRESIDENT) |
| Authorized Official Contact | 7185102714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arktina Medical Pc 89 Alan Loop Staten Island NY 10304-4434 Ph: () - | Arktina Medical Pc 70 Father Capodanno Blvd Staten Island NY 10305-4803 Ph: (718) 510-2714 |
| NPI Number | 1912559600 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 07/12/2019 |
| Medicare PECOS PAC ID | 1355679416 |
|---|---|
| Medicare Enrollment ID | O20190827003424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912559600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Arkady Ganelin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750796769 PECOS PAC ID: 0840548376 Enrollment ID: I20180731002628 |
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