| Long Island Psychiatric Services P.c. | |
|
2280 Grand Ave Suite 207a Baldwin NY 11510-3164 | |
| (516) 442-5151 | |
| (516) 442-5152 |
| Full Name | Long Island Psychiatric Services P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2280 Grand Ave, Baldwin, New York |
| Authorized Official Name and Position | Martha R Alzamora (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5165122952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Psychiatric Services P.c. 2280 Grand Ave Suite 207a Baldwin NY 11510-3164 Ph: (516) 442-5151 | Long Island Psychiatric Services P.c. 2280 Grand Ave Suite 207a Baldwin NY 11510-3164 Ph: (516) 442-5151 |
| NPI Number | 1821305368 |
|---|---|
| Provider Enumeration Date | 09/03/2010 |
| Last Update Date | 09/18/2010 |
| Medicare PECOS PAC ID | 8820271125 |
|---|---|
| Medicare Enrollment ID | O20110324000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821305368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 241998 (New York) | Primary |
| Provider Name | Maryann Jakubiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548307341 PECOS PAC ID: 1355376807 Enrollment ID: I20051004000062 |
| Provider Name | Szymon R Hyzak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083810378 PECOS PAC ID: 6507951902 Enrollment ID: I20071107000011 |
| Provider Name | Diane J Gutman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265501688 PECOS PAC ID: 6608914833 Enrollment ID: I20091110000081 |
| Provider Name | Sandeep Dhingra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972853737 PECOS PAC ID: 0941454243 Enrollment ID: I20130215000020 |
| Provider Name | Agnelo Benvindo Dias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013139716 PECOS PAC ID: 3476791435 Enrollment ID: I20130603000390 |
| Provider Name | Jiji George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548516867 PECOS PAC ID: 8628208634 Enrollment ID: I20140312001476 |
| Provider Name | Patricia R Janson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922254358 PECOS PAC ID: 0941428544 Enrollment ID: I20140822002079 |
| Provider Name | Joanne Hudkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205387859 PECOS PAC ID: 7012298169 Enrollment ID: I20170103001163 |
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