| Samuel Boris Drassinower, M.d., P.c. | |
|
15 Lake St # Lb1 White Plains NY 10603-3851 | |
| (914) 682-0448 | |
| (914) 682-0506 |
| Full Name | Samuel Boris Drassinower, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15 Lake St # Lb1, White Plains, New York |
| Authorized Official Name and Position | Samuel Boris Drassinower (PRESIDENT) |
| Authorized Official Contact | 9146820448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Boris Drassinower, M.d., P.c. 15 Lake St # Lb1 White Plains NY 10603-3851 Ph: (914) 682-0448 | Samuel Boris Drassinower, M.d., P.c. 15 Lake St # Lb1 White Plains NY 10603-3851 Ph: (914) 682-0448 |
| NPI Number | 1841591997 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/05/2010 |
| Medicare PECOS PAC ID | 5991974412 |
|---|---|
| Medicare Enrollment ID | O20110817000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841591997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 105578 (New York) | Primary |
| Provider Name | Samuel B Drassinower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902925068 PECOS PAC ID: 4587834072 Enrollment ID: I20110819000021 |
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