| Compos Mentis Medical Pc | |
|
1430 Clove Rd Staten Island NY 10301-4300 | |
| (718) 795-8498 | |
| (718) 876-7013 |
| Full Name | Compos Mentis Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1430 Clove Rd, Staten Island, New York |
| Authorized Official Name and Position | Alex Mikhelson (PRESIDENT) |
| Authorized Official Contact | 7187958498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compos Mentis Medical Pc 211 Corbin Pl Brooklyn NY 11235-4901 Ph: (718) 795-8498 | Compos Mentis Medical Pc 1430 Clove Rd Staten Island NY 10301-4300 Ph: (718) 795-8498 |
| NPI Number | 1942501457 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942501457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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