Dr Omar Bashayan Physician Pllc | |
155 W 68th St Apt 1102 New York NY 10023-5816 | |
(917) 374-2944 | |
(718) 334-3441 |
Full Name | Dr Omar Bashayan Physician Pllc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 155 W 68th St Apt 1102, New York, New York |
Authorized Official Name and Position | Omar Bashayan (PRESIDENT) |
Authorized Official Contact | 9173742944 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Omar Bashayan Physician Pllc 155 W 68th St Apt 1102 New York NY 10023-5816 Ph: (917) 374-2944 | Dr Omar Bashayan Physician Pllc 155 W 68th St Apt 1102 New York NY 10023-5816 Ph: (917) 374-2944 |
NPI Number | 1275918096 |
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Provider Enumeration Date | 07/22/2015 |
Last Update Date | 07/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275918096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 265495 (New York) | Primary |
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