| Ny Memory And Behavioral Care Llc | |
|
260 Christopher Ln Ste 102a Staten Island NY 10314-1631 | |
| (973) 295-6335 | |
| (862) 204-3456 |
| Full Name | Ny Memory And Behavioral Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 260 Christopher Ln Ste 102a, Staten Island, New York |
| Authorized Official Name and Position | Matthew E Barnas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9732956335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ny Memory And Behavioral Care Llc 14 Ridgedale Ave Ste 103 Cedar Knolls NJ 07927-1106 Ph: (973) 295-6335 | Ny Memory And Behavioral Care Llc 260 Christopher Ln Ste 102a Staten Island NY 10314-1631 Ph: (973) 295-6335 |
| NPI Number | 1336912005 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 5597100818 |
|---|---|
| Medicare Enrollment ID | O20240227001194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336912005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Colleen Geller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316310568 PECOS PAC ID: 2365773868 Enrollment ID: I20230116000239 |
| Provider Name | Matthew Barnas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285609206 PECOS PAC ID: 1456336429 Enrollment ID: I20240308002541 |
| Provider Name | Deborah Ocasio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972764983 PECOS PAC ID: 5698811693 Enrollment ID: I20240326003733 |
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