| Naira Ambarian Medical Pc | |
|
107 Northern Blvd Great Neck NY 11021-4311 | |
| (917) 676-3932 | |
| Not Available |
| Full Name | Naira Ambarian Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 107 Northern Blvd, Great Neck, New York |
| Authorized Official Name and Position | Naira Ambarian (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9176763932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Naira Ambarian Medical Pc 107 Northern Blvd Great Neck NY 11021-4311 Ph: (929) 318-9281 | Naira Ambarian Medical Pc 107 Northern Blvd Great Neck NY 11021-4311 Ph: (917) 676-3932 |
| NPI Number | 1912537564 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 03/18/2022 |
| Certification Date | 03/18/2022 |
| Medicare PECOS PAC ID | 5395174692 |
|---|---|
| Medicare Enrollment ID | O20200408001693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912537564 | NPI | - | NPPES |
| 257030 | Other | NY | LISCENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Naira Ambarian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457568131 PECOS PAC ID: 7618163890 Enrollment ID: I20101130000928 |
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