| Kyle Kato, M.d., Medical Practice, P.c. | |
|
65 W 55th St 4b New York NY 10019-4913 | |
| (212) 319-1511 | |
| (212) 769-9647 |
| Full Name | Kyle Kato, M.d., Medical Practice, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 65 W 55th St, New York, New York |
| Authorized Official Name and Position | Kyle Kato (OWNER) |
| Authorized Official Contact | 2123191511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Kato, M.d., Medical Practice, P.c. 65 W 55th St 4b New York NY 10019-4913 Ph: (212) 319-1511 | Kyle Kato, M.d., Medical Practice, P.c. 65 W 55th St 4b New York NY 10019-4913 Ph: (212) 319-1511 |
| NPI Number | 1932391141 |
|---|---|
| Provider Enumeration Date | 08/11/2007 |
| Last Update Date | 10/12/2011 |
| Medicare PECOS PAC ID | 8426147257 |
|---|---|
| Medicare Enrollment ID | O20071203000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932391141 | NPI | - | NPPES |
| 1366419947 | Other | NY | BC & BS |
| P798171 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 191948 (New York) | Primary |
| Provider Name | Kyle S Kato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366419947 PECOS PAC ID: 5991892051 Enrollment ID: I20071106000564 |
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