| Om Psychiatry, P.c. | |
|
3029 38th St Astoria NY 11103-3875 | |
| (229) 873-3296 | |
| (229) 873-3297 |
| Full Name | Om Psychiatry, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3029 38th St, Astoria, New York |
| Authorized Official Name and Position | Veeresh Bajaj (PRESIDENT) |
| Authorized Official Contact | 7188061434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Om Psychiatry, P.c. Po Box 75 Jericho NY 11753 Ph: (718) 806-1434 | Om Psychiatry, P.c. 3029 38th St Astoria NY 11103-3875 Ph: (229) 873-3296 |
| NPI Number | 1952976631 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 6204238215 |
|---|---|
| Medicare Enrollment ID | O20210819001598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952976631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Veeresh Bajaj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598959595 PECOS PAC ID: 3173791753 Enrollment ID: I20210819001781 |
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