| Edward J. Pakstis, M.d., P.l.l.c. | |
|
94 Tarence St Rockville Centre NY 11570-2621 | |
| (516) 678-6816 | |
| Not Available |
| Full Name | Edward J. Pakstis, M.d., P.l.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 94 Tarence St, Rockville Centre, New York |
| Authorized Official Name and Position | Edward J. Pakstis (MD) |
| Authorized Official Contact | 5166786816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J. Pakstis, M.d., P.l.l.c. 94 Tarence St Rockville Centre NY 11570-2621 Ph: (516) 678-6816 | Edward J. Pakstis, M.d., P.l.l.c. 94 Tarence St Rockville Centre NY 11570-2621 Ph: (516) 678-6816 |
| NPI Number | 1649524851 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 04/12/2017 |
| Medicare PECOS PAC ID | 1759533342 |
|---|---|
| Medicare Enrollment ID | O20121205000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649524851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 160126-1 (New York) | Primary |
| Provider Name | Edward J. Pakstis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134146145 PECOS PAC ID: 5799819868 Enrollment ID: I20100812000104 |
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