| Reaching Minds Np In Psychiatry And Adult Health P.c | |
|
319 Hempstead Ave West Hempstead NY 11552-2042 | |
| (516) 907-9243 | |
| Not Available |
| Full Name | Reaching Minds Np In Psychiatry And Adult Health P.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 319 Hempstead Ave, West Hempstead, New York |
| Authorized Official Name and Position | Paul Oghale Igbide (COE) |
| Authorized Official Contact | 9176518465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reaching Minds Np In Psychiatry And Adult Health P.c 319 Hempstead Ave West Hempstead NY 11552-2042 Ph: () - | Reaching Minds Np In Psychiatry And Adult Health P.c 319 Hempstead Ave West Hempstead NY 11552-2042 Ph: (516) 907-9243 |
| NPI Number | 1023720893 |
|---|---|
| Provider Enumeration Date | 12/23/2022 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Medicare PECOS PAC ID | 1850762873 |
|---|---|
| Medicare Enrollment ID | O20230130000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023720893 | NPI | - | NPPES |
| 04785897 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Paul O Igbide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912263831 PECOS PAC ID: 9133383862 Enrollment ID: I20120611000019 |
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Parent Information Exchange Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Owasco Rd, West Hempstead, NY 11552 Phone: 516-425-1905 | |
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