| Mind Wellness Professional Psychiatric Services Pc | |
|
6903 4th Ave Brooklyn NY 11209-1509 | |
| (718) 238-6161 | |
| Not Available |
| Full Name | Mind Wellness Professional Psychiatric Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6903 4th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Ashraf Elshafei (PHYSICIAN) |
| Authorized Official Contact | 7182386161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Wellness Professional Psychiatric Services Pc 6903 4th Ave Brooklyn NY 11209-1509 Ph: (718) 238-6161 | Mind Wellness Professional Psychiatric Services Pc 6903 4th Ave Brooklyn NY 11209-1509 Ph: (718) 238-6161 |
| NPI Number | 1265671184 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 05/23/2017 |
| Medicare PECOS PAC ID | 3375609258 |
|---|---|
| Medicare Enrollment ID | O20090228000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265671184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 249211 (New York) | Primary |
| Provider Name | Ashraf G Elshafei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083816755 PECOS PAC ID: 6103982087 Enrollment ID: I20090228000029 |
| Provider Name | Elizabeth A Gromosaik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568753267 PECOS PAC ID: 0941473417 Enrollment ID: I20111028000655 |
| Provider Name | Reena Carmen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831480516 PECOS PAC ID: 3971720335 Enrollment ID: I20140807001461 |
| Provider Name | Godwin E Fakeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447649447 PECOS PAC ID: 0840590659 Enrollment ID: I20170208002619 |
| Provider Name | Barbara Culver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164788964 PECOS PAC ID: 2365784675 Enrollment ID: I20190506002393 |
| Provider Name | Norvy Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144627993 PECOS PAC ID: 8123412491 Enrollment ID: I20220302002026 |
| Provider Name | Jessica Aitken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508589029 PECOS PAC ID: 0042681827 Enrollment ID: I20230116000463 |
| Provider Name | Momen Ismail |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609496165 PECOS PAC ID: 1850833211 Enrollment ID: I20240613000126 |
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