| R & V Np In Psychiatric Services Pllc | |
|
340 Trinity Pl Malverne NY 11565-1248 | |
| (917) 557-6064 | |
| (917) 591-4505 |
| Full Name | R & V Np In Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 340 Trinity Pl, Malverne, New York |
| Authorized Official Name and Position | Reagan Anusionwu (FOUNDER) |
| Authorized Official Contact | 7183090381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R & V Np In Psychiatric Services Pllc 1850 Lafayette Ave Apt 6e Bronx NY 10473-2837 Ph: (646) 844-0518 | R & V Np In Psychiatric Services Pllc 340 Trinity Pl Malverne NY 11565-1248 Ph: (917) 557-6064 |
| NPI Number | 1497216675 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497216675 | NPI | - | NPPES |
| 03623232 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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