| Kitaj Headache Center Llc | |
|
2649 Strang Blvd Suite 208 Yorktown Heights NY 10598-2939 | |
| (914) 245-3962 | |
| (914) 254-3963 |
| Full Name | Kitaj Headache Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2649 Strang Blvd, Yorktown Heights, New York |
| Authorized Official Name and Position | Madeleine B Kitaj (SOLE PROPRIETOR) |
| Authorized Official Contact | 2032628430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitaj Headache Center Llc 2649 Strang Blvd Suite 208 Yorktown Heights NY 10598-2939 Ph: (914) 245-3962 | Kitaj Headache Center Llc 2649 Strang Blvd Suite 208 Yorktown Heights NY 10598-2939 Ph: (914) 245-3962 |
| NPI Number | 1790876324 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 03/26/2008 |
| Medicare PECOS PAC ID | 1557411949 |
|---|---|
| Medicare Enrollment ID | O20090605000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790876324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 205773 (New York) | Primary |
| Provider Name | Madeleine B Kitaj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881609451 PECOS PAC ID: 7315955820 Enrollment ID: I20060324000473 |
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