| Psychvisit | |
|
120 Broadway Suite D Amityville NY 11701 | |
| (631) 440-1010 | |
| (631) 237-5818 |
| Full Name | Psychvisit |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 120 Broadway, Amityville, New York |
| Authorized Official Name and Position | Faisal Rafig (PHYSICIAN) |
| Authorized Official Contact | 6314401010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychvisit 120 Broadway Suite D Amityville NY 11701 Ph: (718) 924-7444 | Psychvisit 120 Broadway Suite D Amityville NY 11701 Ph: (631) 440-1010 |
| NPI Number | 1003563560 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Medicare PECOS PAC ID | 7618361627 |
|---|---|
| Medicare Enrollment ID | O20220308000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003563560 | NPI | - | NPPES |
| 271401 | Other | NY | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Faisal M Rafiq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770734238 PECOS PAC ID: 7214170042 Enrollment ID: I20130827000452 |
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