| Reema Maindiratta Md Pc | |
|
400 W Main St Ste 336 Babylon NY 11702-3016 | |
| (631) 422-3675 | |
| (631) 422-3743 |
| Full Name | Reema Maindiratta Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 400 W Main St Ste 336, Babylon, New York |
| Authorized Official Name and Position | Reema Maindiratta (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 6314223675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reema Maindiratta Md Pc 400 W Main St Ste 336 Babylon NY 11702-3016 Ph: (631) 422-3675 | Reema Maindiratta Md Pc 400 W Main St Ste 336 Babylon NY 11702-3016 Ph: (631) 422-3675 |
| NPI Number | 1558315531 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9931376597 |
|---|---|
| Medicare Enrollment ID | O20120123000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558315531 | NPI | - | NPPES |
| 01766412 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 203259 (New York) | Primary |
| Provider Name | Reema Maindiratta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043466774 PECOS PAC ID: 0840467403 Enrollment ID: I20120123000338 |
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