| Intensive Psychiatric Services Pc | |
|
2500 Marcus Ave Suite 110 New Hyde Park NY 11042-1097 | |
| (516) 897-0277 | |
| (516) 431-8209 |
| Full Name | Intensive Psychiatric Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2500 Marcus Ave, New Hyde Park, New York |
| Authorized Official Name and Position | Alan Lawrence Rubin (PRESIDENT) |
| Authorized Official Contact | 5168970277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Psychiatric Services Pc Po Box 255 Atlantic Beach NY 11509-0255 Ph: (516) 897-0277 | Intensive Psychiatric Services Pc 2500 Marcus Ave Suite 110 New Hyde Park NY 11042-1097 Ph: (516) 897-0277 |
| NPI Number | 1043583073 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 05/01/2012 |
| Medicare PECOS PAC ID | 7113185679 |
|---|---|
| Medicare Enrollment ID | O20120301000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043583073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 151093 (New York) | Primary |
| Provider Name | Alan L Rubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669697793 PECOS PAC ID: 0143489674 Enrollment ID: I20120302000046 |
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