Comprehensive Psychiatry Pc | |
275 North St Harrison NY 10528-1140 | |
(914) 426-0488 | |
Not Available |
Full Name | Comprehensive Psychiatry Pc |
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Speciality | Psychiatry & Neurology |
Location | 275 North St, Harrison, New York |
Authorized Official Name and Position | Irina Martynova (PRESIDENT) |
Authorized Official Contact | 9144260488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Psychiatry Pc 275 North St Harrison NY 10528-1140 Ph: (914) 426-0488 | Comprehensive Psychiatry Pc 275 North St Harrison NY 10528-1140 Ph: (914) 426-0488 |
NPI Number | 1528365590 |
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Provider Enumeration Date | 02/28/2011 |
Last Update Date | 02/28/2011 |
Medicare PECOS PAC ID | 8426228156 |
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Medicare Enrollment ID | O20110907000849 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528365590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Irina Martynova |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174558787 PECOS PAC ID: 1850452376 Enrollment ID: I20081203000006 |
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