| Chalo Psychiatry P.c. | |
|
812 Bonnie Dr Baldwin NY 11510-4521 | |
| (516) 395-5614 | |
| Not Available |
| Full Name | Chalo Psychiatry P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 812 Bonnie Dr, Baldwin, New York |
| Authorized Official Name and Position | Jessy Jamshed Colah (OWNER) |
| Authorized Official Contact | 5163955614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chalo Psychiatry P.c. Po Box 161 Baldwin NY 11510-0161 Ph: (718) 753-4585 | Chalo Psychiatry P.c. 812 Bonnie Dr Baldwin NY 11510-4521 Ph: (516) 395-5614 |
| NPI Number | 1538939889 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 7214377332 |
|---|---|
| Medicare Enrollment ID | O20240506003513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538939889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jessy Colah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336181866 PECOS PAC ID: 2365338696 Enrollment ID: I20040224001091 |
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