| Wonder Years Psychiatric Services Pllc | |
|
26 Court St Suite 816 Brooklyn NY 11242-0103 | |
| (347) 987-4233 | |
| Not Available |
| Full Name | Wonder Years Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 26 Court St, Brooklyn, New York |
| Authorized Official Name and Position | Vikas Malik (FOUNDER) |
| Authorized Official Contact | 3479874233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonder Years Psychiatric Services Pllc 26 Court St Suite 816 Brooklyn NY 11242-0103 Ph: (347) 987-4233 | Wonder Years Psychiatric Services Pllc 26 Court St Suite 816 Brooklyn NY 11242-0103 Ph: (347) 987-4233 |
| NPI Number | 1972046795 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Medicare PECOS PAC ID | 9931584612 |
|---|---|
| Medicare Enrollment ID | O20220915003630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972046795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 285676 (New York) | Primary |
| Provider Name | Rosemarie Cafone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104449255 PECOS PAC ID: 7214345214 Enrollment ID: I20210412001677 |
| Provider Name | Vikas Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841508421 PECOS PAC ID: 2567635592 Enrollment ID: I20230728001116 |
| Provider Name | Cara Anne Koleba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235835612 PECOS PAC ID: 2961863469 Enrollment ID: I20230801000289 |
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