| Sr Medical Services Pllc | |
|
1400 Old Country Rd Westbury NY 11590-5156 | |
| (833) 350-8255 | |
| Not Available |
| Full Name | Sr Medical Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1400 Old Country Rd, Westbury, New York |
| Authorized Official Name and Position | Samuel Reinfeld (OWNER) |
| Authorized Official Contact | 7183540870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sr Medical Services Pllc 11 Forest Ln Westbury NY 11590-6532 Ph: () - | Sr Medical Services Pllc 1400 Old Country Rd Westbury NY 11590-5156 Ph: (833) 350-8255 |
| NPI Number | 1063119543 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 2668832379 |
|---|---|
| Medicare Enrollment ID | O20230713000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063119543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paula M Elliott Gilroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073907358 PECOS PAC ID: 2567898471 Enrollment ID: I20200212000457 |
| Provider Name | Virginia Gunther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689045668 PECOS PAC ID: 6608243662 Enrollment ID: I20221103001162 |
| Provider Name | Samuel Reinfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861952459 PECOS PAC ID: 8921337247 Enrollment ID: I20230523000763 |
| Provider Name | Michael Stephen La Sala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356804512 PECOS PAC ID: 5991176422 Enrollment ID: I20230816003688 |
| Provider Name | Daniel Bentley |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1689459372 PECOS PAC ID: 6406292911 Enrollment ID: I20240306004138 |
| Provider Name | Soohyun Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336804418 PECOS PAC ID: 2466899554 Enrollment ID: I20240325003482 |
| Provider Name | Joan Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386334647 PECOS PAC ID: 7517306194 Enrollment ID: I20240416000337 |
| Provider Name | Raina Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265107585 PECOS PAC ID: 7416490867 Enrollment ID: I20240613004028 |
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