Yasmin Collazo Md Pc | |
936 5th Ave Ste 4 New York NY 10021-2653 | |
(212) 452-9671 | |
(212) 452-9672 |
Full Name | Yasmin Collazo Md Pc |
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Speciality | Psychiatry & Neurology |
Location | 936 5th Ave, New York, New York |
Authorized Official Name and Position | Yasmin M Collazo (PRESIDENT) |
Authorized Official Contact | 2124529671 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Yasmin Collazo Md Pc 240 E 76th St Apt 14e New York NY 10021-2941 Ph: (212) 452-9671 | Yasmin Collazo Md Pc 936 5th Ave Ste 4 New York NY 10021-2653 Ph: (212) 452-9671 |
NPI Number | 1689901498 |
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Provider Enumeration Date | 11/16/2009 |
Last Update Date | 11/16/2009 |
Medicare PECOS PAC ID | 6901946979 |
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Medicare Enrollment ID | O20091223000164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689901498 | NPI | - | NPPES |
01672779 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 187388 (New York) | Primary |
Provider Name | Yasmin M Collazo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346347507 PECOS PAC ID: 4688772296 Enrollment ID: I20070605000692 |
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