Long Island Psychiatric Associates Pc | |
871 E Park Ave Long Beach NY 11561-2709 | |
(516) 889-8844 | |
(516) 889-8857 |
Full Name | Long Island Psychiatric Associates Pc |
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Speciality | Psychiatry & Neurology |
Location | 871 E Park Ave, Long Beach, New York |
Authorized Official Name and Position | Ashok N Bhatt (PRESIDENT) |
Authorized Official Contact | 5168898844 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Long Island Psychiatric Associates Pc 871 E Park Ave Long Beach NY 11561-2709 Ph: (516) 889-8844 | Long Island Psychiatric Associates Pc 871 E Park Ave Long Beach NY 11561-2709 Ph: (516) 889-8844 |
NPI Number | 1639216328 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6709776099 |
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Medicare Enrollment ID | O20040318001787 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639216328 | NPI | - | NPPES |
01399417 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Iqbal Jangda |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467537175 PECOS PAC ID: 9032194949 Enrollment ID: I20040623000769 |
Provider Name | Stanley P Reddy |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952474496 PECOS PAC ID: 8921060161 Enrollment ID: I20041101000240 |
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