Complete Sleep Care P.a. | |
595 Route 25a Ste 2 Miller Place NY 11764-2648 | |
(312) 388-2716 | |
(631) 532-1908 |
Full Name | Complete Sleep Care P.a. |
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Speciality | Psychiatry & Neurology |
Location | 595 Route 25a Ste 2, Miller Place, New York |
Authorized Official Name and Position | Wahid Rashidzada (MD) |
Authorized Official Contact | 6312388271 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Complete Sleep Care P.a. 595 Route 25a Ste 2 Miller Place NY 11764-2648 Ph: (631) 238-8271 | Complete Sleep Care P.a. 595 Route 25a Ste 2 Miller Place NY 11764-2648 Ph: (312) 388-2716 |
NPI Number | 1366703191 |
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Provider Enumeration Date | 06/07/2012 |
Last Update Date | 02/12/2019 |
Medicare PECOS PAC ID | 5890943187 |
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Medicare Enrollment ID | O20190408001438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366703191 | NPI | - | NPPES |
04149937 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
Provider Name | Wahid Rashidzada |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1346416021 PECOS PAC ID: 0749334738 Enrollment ID: I20160616000445 |
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Complete Sleep Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 Route 25a Ste 2, Miller Place, NY 11764 Phone: 631-238-8271 Fax: 631-532-1908 |