| Island Wide Psychiatric Services Pc | |
|
327 Bch 19 St Far Rockaway NY 11691 | |
| (516) 869-7250 | |
| Not Available |
| Full Name | Island Wide Psychiatric Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 327 Bch 19 St, Far Rockaway, New York |
| Authorized Official Name and Position | Harsha Vardhan Reddy (OWNER) |
| Authorized Official Contact | 5163744671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Wide Psychiatric Services Pc 180 Alden Rd Woodmere NY 11598-1810 Ph: (516) 374-4671 | Island Wide Psychiatric Services Pc 327 Bch 19 St Far Rockaway NY 11691 Ph: (516) 869-7250 |
| NPI Number | 1174727291 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174727291 | NPI | - | NPPES |
| 02226759 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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