| Parkway Counseling & Psychiatric Services, Pc | |
|
3045 Ocean Pkwy Brooklyn NY 11235-8371 | |
| (718) 449-1705 | |
| (718) 449-6901 |
| Full Name | Parkway Counseling & Psychiatric Services, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3045 Ocean Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Alexander Heisman (OWNER) |
| Authorized Official Contact | 7184491705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Counseling & Psychiatric Services, Pc 3045 Ocean Pkwy Brooklyn NY 11235-8371 Ph: (718) 449-1705 | Parkway Counseling & Psychiatric Services, Pc 3045 Ocean Pkwy Brooklyn NY 11235-8371 Ph: (718) 449-1705 |
| NPI Number | 1801102900 |
|---|---|
| Provider Enumeration Date | 08/26/2010 |
| Last Update Date | 08/26/2010 |
| Medicare PECOS PAC ID | 4385838192 |
|---|---|
| Medicare Enrollment ID | O20101104001430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801102900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 199971 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 199971 (New York) | Primary |
| Provider Name | Alexander Heisman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386788404 PECOS PAC ID: 0941333033 Enrollment ID: I20100726000641 |
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