Care Psychiatry Pc | |
15 W 72nd St Ste Lb New York NY 10023-3402 | |
(929) 408-4680 | |
Not Available |
Full Name | Care Psychiatry Pc |
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Speciality | Psychiatry & Neurology |
Location | 15 W 72nd St Ste Lb, New York, New York |
Authorized Official Name and Position | Ali Ahsan Ali (OWNER (SHAREHOLDER)) |
Authorized Official Contact | 9294084680 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Care Psychiatry Pc 15 W 72nd St Ste Lb New York NY 10023-3402 Ph: (929) 408-4680 | Care Psychiatry Pc 15 W 72nd St Ste Lb New York NY 10023-3402 Ph: (929) 408-4680 |
NPI Number | 1316627797 |
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Provider Enumeration Date | 07/20/2023 |
Last Update Date | 01/12/2024 |
Certification Date | 01/12/2024 |
Medicare PECOS PAC ID | 3274989777 |
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Medicare Enrollment ID | O20231019000661 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316627797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Ali Ahsan Ali |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427570993 PECOS PAC ID: 6507105053 Enrollment ID: I20210723002926 |
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