| Omni Psychiatric Services Pc | |
|
42 Grandview Cir Manhasset NY 11030-1314 | |
| (212) 730-7777 | |
| (516) 365-2591 |
| Full Name | Omni Psychiatric Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 42 Grandview Cir, Manhasset, New York |
| Authorized Official Name and Position | Mikhail V Nickita (PRESIDENT) |
| Authorized Official Contact | 2127307777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Psychiatric Services Pc 42 Grandview Circle Manhasset NY 11030 Ph: (212) 730-7777 | Omni Psychiatric Services Pc 42 Grandview Cir Manhasset NY 11030-1314 Ph: (212) 730-7777 |
| NPI Number | 1649320383 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649320383 | NPI | - | NPPES |
| 1689922783 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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