| Seniorstat Psychiatric Pc | |
|
891 Northern Blvd Ste 201 Great Neck NY 11021-5305 | |
| (516) 829-5483 | |
| (516) 829-5403 |
| Full Name | Seniorstat Psychiatric Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 891 Northern Blvd Ste 201, Great Neck, New York |
| Authorized Official Name and Position | Nancy Talavera (OWNER) |
| Authorized Official Contact | 7186045037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seniorstat Psychiatric Pc 40 Sunset Rd S Albertson NY 11507-1149 Ph: (718) 604-5037 | Seniorstat Psychiatric Pc 891 Northern Blvd Ste 201 Great Neck NY 11021-5305 Ph: (516) 829-5483 |
| NPI Number | 1497814933 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 10/06/2008 |
| Medicare PECOS PAC ID | 7911098447 |
|---|---|
| Medicare Enrollment ID | O20071112000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497814933 | NPI | - | NPPES |
| 02105604 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Vadim Y Korol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417033812 PECOS PAC ID: 8022114230 Enrollment ID: I20070504000318 |
Ronald B Cohen, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Barstow Rd Ste 304, Great Neck, NY 11021 Phone: 516-317-3251 | |
Eugene Becker Md Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9 Cedar Dr, Great Neck, NY 11021 Phone: 516-466-4760 Fax: 516-466-4761 | |
Long Island Sound Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 N Station Plz Ste 205, Great Neck, NY 11021 Phone: 516-628-7765 | |
Bio Behavioral Psychology P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 935 Northern Blvd, Suite 102, Great Neck, NY 11021 Phone: 516-487-7116 Fax: 516-829-1731 | |
Joseph S. Weiner, M.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1010 Northern Blvd, Suite 208, Great Neck, NY 11021 Phone: 516-336-2585 Fax: 516-336-2584 | |
Olivia Pinsley Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Northern Blvd, Suite 12, Great Neck, NY 11021 Phone: 516-642-1174 Fax: 516-467-4267 | |
Long Island Behavioral Health Solutions, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Orchard Rd, Great Neck, NY 11021 Phone: 516-509-6773 Fax: 516-482-6004 |