| Laura Amram Psychiatry Pc | |
|
95-20 63 Road Suite O Rego Park NY 11374 | |
| (718) 755-0656 | |
| (888) 500-0406 |
| Full Name | Laura Amram Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 95-20 63 Road, Rego Park, New York |
| Authorized Official Name and Position | Laura Amram (OWNER) |
| Authorized Official Contact | 7185393646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Amram Psychiatry Pc Po Box 520390 Flushing NY 11352-0390 Ph: (718) 755-0656 | Laura Amram Psychiatry Pc 95-20 63 Road Suite O Rego Park NY 11374 Ph: (718) 755-0656 |
| NPI Number | 1063117315 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Medicare PECOS PAC ID | 0042676710 |
|---|---|
| Medicare Enrollment ID | O20230523000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063117315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Laura Amram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750339271 PECOS PAC ID: 8527068154 Enrollment ID: I20070105000158 |
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