| Healthy Minds Of New York Np In Psychiatry Pc | |
|
76 Frank St Lindenhurst NY 11757-3009 | |
| (551) 275-5674 | |
| Not Available |
| Full Name | Healthy Minds Of New York Np In Psychiatry Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 76 Frank St, Lindenhurst, New York |
| Authorized Official Name and Position | Aline Lys Rabel (OWNER) |
| Authorized Official Contact | 5512755674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Of New York Np In Psychiatry Pc 76 Frank St Lindenhurst NY 11757-3009 Ph: (551) 275-5674 | Healthy Minds Of New York Np In Psychiatry Pc 76 Frank St Lindenhurst NY 11757-3009 Ph: (551) 275-5674 |
| NPI Number | 1669178125 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Medicare PECOS PAC ID | 8729432059 |
|---|---|
| Medicare Enrollment ID | O20230920003016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669178125 | NPI | - | NPPES |
| 05993384 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Aline Lys Rabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821649880 PECOS PAC ID: 7416382619 Enrollment ID: I20200116001190 |
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