| Punam Prabhakar Md Pc | |
|
2200 Northern Blvd Ste 128 Greenvale NY 11548-1221 | |
| (917) 224-4496 | |
| Not Available |
| Full Name | Punam Prabhakar Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2200 Northern Blvd Ste 128, Greenvale, New York |
| Authorized Official Name and Position | Punam Prabhakar (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9172244496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Punam Prabhakar Md Pc 2200 Northern Blvd Ste 128 Greenvale NY 11548-1221 Ph: (516) 415-0514 | Punam Prabhakar Md Pc 2200 Northern Blvd Ste 128 Greenvale NY 11548-1221 Ph: (917) 224-4496 |
| NPI Number | 1114432226 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 04/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114432226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Keith A Siller Md Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2200 Northern Blvd Ste 128, Greenvale, NY 11548 Phone: 646-413-3148 |