| Psychiatric Associates Llp | |
|
140 Prospect Ave Suite 4 Hackensack NJ 07601 | |
| (201) 488-6543 | |
| (201) 488-6916 |
| Full Name | Psychiatric Associates Llp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 140 Prospect Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Christina B Bavaro (BILLING MANAGER) |
| Authorized Official Contact | 2014886543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Associates Llp 140 Prospect Ave Suite 4 Hackensack NJ 07601 Ph: (201) 488-6543 | Psychiatric Associates Llp 140 Prospect Ave Suite 4 Hackensack NJ 07601 Ph: (201) 488-6543 |
| NPI Number | 1922019694 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 9537189584 |
|---|---|
| Medicare Enrollment ID | O20051206000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922019694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Joseph F Acquaviva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912054420 PECOS PAC ID: 4183808090 Enrollment ID: I20110418000257 |
| Provider Name | Valeria S Korshunova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407904253 PECOS PAC ID: 7719161629 Enrollment ID: I20110502000704 |
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