| Psychiatry Matters Ny Pc | |
|
1441 Broadway #3140 New York NY 10018 | |
| (917) 994-0057 | |
| Not Available |
| Full Name | Psychiatry Matters Ny Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1441 Broadway #3140, New York, New York |
| Authorized Official Name and Position | Monica Stahl (MANAGER) |
| Authorized Official Contact | 3474275655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Matters Ny Pc 4801 Woodway Dr Ste 306w Houston TX 77056-1828 Ph: () - | Psychiatry Matters Ny Pc 1441 Broadway #3140 New York NY 10018 Ph: (917) 994-0057 |
| NPI Number | 1578300919 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/03/2024 |
| Medicare PECOS PAC ID | 9032656129 |
|---|---|
| Medicare Enrollment ID | O20240807001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578300919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gerard Scardino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619087111 PECOS PAC ID: 4688809072 Enrollment ID: I20220823000388 |
| Provider Name | Zhanna Bukshan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669945697 PECOS PAC ID: 9638618945 Enrollment ID: I20240830001886 |
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