| Nyc Psychiatrist Pc | |
|
122 E 25th St Ground Level, West Entrance New York NY 10010-2936 | |
| (917) 704-4069 | |
| Not Available |
| Full Name | Nyc Psychiatrist Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 122 E 25th St, New York, New York |
| Authorized Official Name and Position | Zlatin Ivanov (MD) |
| Authorized Official Contact | 9177044069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyc Psychiatrist Pc 122 E 25th St Ground Level, West Entrance New York NY 10010-2936 Ph: (917) 704-4069 | Nyc Psychiatrist Pc 122 E 25th St Ground Level, West Entrance New York NY 10010-2936 Ph: (917) 704-4069 |
| NPI Number | 1386026961 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 06/22/2015 |
| Medicare PECOS PAC ID | 3971813361 |
|---|---|
| Medicare Enrollment ID | O20151116001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386026961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 242883 (New York) | Primary |
| Provider Name | Zlatin S Ivanov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982883963 PECOS PAC ID: 1456441088 Enrollment ID: I20071219000395 |
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