| Sunshine Psychiatric Service Pc | |
|
6 Tuxedo Ave New Hyde Park NY 11040-3519 | |
| (347) 517-2335 | |
| Not Available |
| Full Name | Sunshine Psychiatric Service Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6 Tuxedo Ave, New Hyde Park, New York |
| Authorized Official Name and Position | Natalya Bulycheva (BILLING CREDENTIALING MANAGER) |
| Authorized Official Contact | 9173923274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Psychiatric Service Pc 76 Park Lane Dr Albertson NY 11507-1320 Ph: (347) 517-2355 | Sunshine Psychiatric Service Pc 6 Tuxedo Ave New Hyde Park NY 11040-3519 Ph: (347) 517-2335 |
| NPI Number | 1902686926 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 2860842564 |
|---|---|
| Medicare Enrollment ID | O20231221000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902686926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ajay Jalwan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649573403 PECOS PAC ID: 4587966007 Enrollment ID: I20151230000789 |
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