| Omni Psychiatric Services Pc | |
|
42 Grandview Cir Manhasset NY 11030-1314 | |
| (516) 365-2591 | |
| (212) 730-7797 |
| Full Name | Omni Psychiatric Services Pc |
|---|---|
| Speciality | Counselor |
| Location | 42 Grandview Cir, Manhasset, New York |
| Authorized Official Name and Position | Luz Amelia Green (PSYCHIATRIST) |
| Authorized Official Contact | 2127307777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Psychiatric Services Pc 1430 Broadway Rm 1608 New York NY 10018-3363 Ph: (212) 730-7777 | Omni Psychiatric Services Pc 42 Grandview Cir Manhasset NY 11030-1314 Ph: (516) 365-2591 |
| NPI Number | 1689922783 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Medicare PECOS PAC ID | 2961437488 |
|---|---|
| Medicare Enrollment ID | O20051003000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689922783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 215211 (New York) | Primary |
| Provider Name | Luz A. Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497825525 PECOS PAC ID: 7214921386 Enrollment ID: I20040412001257 |
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