| Long Island Comprehensive Psychiatry Pc | |
|
5512 Merrick Rd Suite 2a Massapequa NY 11758-6233 | |
| (516) 797-0282 | |
| (516) 797-0284 |
| Full Name | Long Island Comprehensive Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5512 Merrick Rd, Massapequa, New York |
| Authorized Official Name and Position | Karan Kumar (OWNER) |
| Authorized Official Contact | 5167970282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Comprehensive Psychiatry Pc 5512 Merrick Rd Suite 2a Massapequa NY 11758-6233 Ph: (516) 797-0282 | Long Island Comprehensive Psychiatry Pc 5512 Merrick Rd Suite 2a Massapequa NY 11758-6233 Ph: (516) 797-0282 |
| NPI Number | 1912314808 |
|---|---|
| Provider Enumeration Date | 07/13/2014 |
| Last Update Date | 03/27/2015 |
| Medicare PECOS PAC ID | 6204158777 |
|---|---|
| Medicare Enrollment ID | O20141211001886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912314808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 142753 (New York) | Primary |
| Provider Name | Karan Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063400042 PECOS PAC ID: 7618930199 Enrollment ID: I20041105000350 |
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