| Rod Amazan Psychiatry Np Pc | |
|
1985 Sedgwick Ave Apt 6f Bronx NY 10453-2745 | |
| (845) 499-6974 | |
| Not Available |
| Full Name | Rod Amazan Psychiatry Np Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1985 Sedgwick Ave Apt 6f, Bronx, New York |
| Authorized Official Name and Position | Rod Amazan (OWNER) |
| Authorized Official Contact | 8454996974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rod Amazan Psychiatry Np Pc 1985 Sedgwick Ave Apt 6f Bronx NY 10453-2745 Ph: (845) 499-6974 | Rod Amazan Psychiatry Np Pc 1985 Sedgwick Ave Apt 6f Bronx NY 10453-2745 Ph: (845) 499-6974 |
| NPI Number | 1376130542 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Certification Date | 12/22/2020 |
| Medicare PECOS PAC ID | 2264844943 |
|---|---|
| Medicare Enrollment ID | O20201222002357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376130542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rod Amazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679089726 PECOS PAC ID: 3274894712 Enrollment ID: I20180226002583 |
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