Davidov Psychiatric Care,p.c. | |
9520 63rd Rd Suite J Rego Park NY 11374-1145 | |
(718) 459-1225 | |
(718) 459-5805 |
Full Name | Davidov Psychiatric Care,p.c. |
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Speciality | Clinic/Center |
Location | 9520 63rd Rd, Rego Park, New York |
Authorized Official Name and Position | Ludmila Davidov (PRESIDENT) |
Authorized Official Contact | 7184591225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Davidov Psychiatric Care,p.c. 9850 63rd Dr Apt. 5g Rego Park NY 11374-2337 Ph: (347) 840-0409 | Davidov Psychiatric Care,p.c. 9520 63rd Rd Suite J Rego Park NY 11374-1145 Ph: (718) 459-1225 |
NPI Number | 1588815369 |
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Provider Enumeration Date | 10/09/2008 |
Last Update Date | 10/09/2008 |
Medicare PECOS PAC ID | 1557553583 |
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Medicare Enrollment ID | O20101008001175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588815369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Ludmila Davidov |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457311987 PECOS PAC ID: 1355335027 Enrollment ID: I20040414000681 |
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