| Medical Diagnostic Services Pc | |
|
520 White Plains Rd Ste 500 Tarrytown NY 10591-5118 | |
| (866) 335-4040 | |
| (800) 362-2262 |
| Full Name | Medical Diagnostic Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 520 White Plains Rd Ste 500, Tarrytown, New York |
| Authorized Official Name and Position | Nilay Shah (CEO) |
| Authorized Official Contact | 8663354040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Diagnostic Services Pc 520 White Plains Rd Ste 500 Tarrytown NY 10591-5118 Ph: (866) 335-4040 | Medical Diagnostic Services Pc 520 White Plains Rd Ste 500 Tarrytown NY 10591-5118 Ph: (866) 335-4040 |
| NPI Number | 1629409933 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Medicare PECOS PAC ID | 6507089638 |
|---|---|
| Medicare Enrollment ID | O20140519001253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629409933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 227852 (New York) | Primary |
| Provider Name | Nilay Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154372621 PECOS PAC ID: 5890704811 Enrollment ID: I20060419000169 |
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