| Centered Psychiatry Of New Mexico Llc | |
|
8300 Talbot St Apt 2b Kew Gardens NY 11415-3516 | |
| (718) 440-7867 | |
| (505) 930-5398 |
| Full Name | Centered Psychiatry Of New Mexico Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8300 Talbot St Apt 2b, Kew Gardens, New York |
| Authorized Official Name and Position | Noah D Freedman (OWNER) |
| Authorized Official Contact | 7184407867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centered Psychiatry Of New Mexico Llc 8300 Talbot St Apt 2b Kew Gardens NY 11415-3516 Ph: (718) 440-7867 | Centered Psychiatry Of New Mexico Llc 8300 Talbot St Apt 2b Kew Gardens NY 11415-3516 Ph: (718) 440-7867 |
| NPI Number | 1184193385 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Medicare PECOS PAC ID | 2264778281 |
|---|---|
| Medicare Enrollment ID | O20190114000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184193385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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