| Metta Psychiatry Pllc | |
|
3635 Bell Blvd Ste 203 Bayside NY 11361-2097 | |
| (516) 320-8441 | |
| Not Available |
| Full Name | Metta Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3635 Bell Blvd Ste 203, Bayside, New York |
| Authorized Official Name and Position | Vivek Jayadeva (PRACTICE OWNER) |
| Authorized Official Contact | 7745030968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metta Psychiatry Pllc 3635 Bell Blvd Ste 203 Bayside NY 11361-2097 Ph: (516) 320-8441 | Metta Psychiatry Pllc 3635 Bell Blvd Ste 203 Bayside NY 11361-2097 Ph: (516) 320-8441 |
| NPI Number | 1992576102 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 1759826134 |
|---|---|
| Medicare Enrollment ID | O20240710000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992576102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Vivek Jayadeva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922413780 PECOS PAC ID: 7214286087 Enrollment ID: I20240710000983 |
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