| Yogendra Upadhyay Md Pc | |
|
400 Montauk Hwy Ste 109 West Islip NY 11795-4429 | |
| (516) 480-5578 | |
| (516) 801-4361 |
| Full Name | Yogendra Upadhyay Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 400 Montauk Hwy Ste 109, West Islip, New York |
| Authorized Official Name and Position | Yogendra Upadhyay (PRESIDENT) |
| Authorized Official Contact | 5164805578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yogendra Upadhyay Md Pc 400 Montauk Hwy Ste 109 West Islip NY 11795-4429 Ph: (516) 480-5578 | Yogendra Upadhyay Md Pc 400 Montauk Hwy Ste 109 West Islip NY 11795-4429 Ph: (516) 480-5578 |
| NPI Number | 1265294979 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/27/2024 |
| Medicare PECOS PAC ID | 5890130413 |
|---|---|
| Medicare Enrollment ID | O20240305001298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265294979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Yogendra Upadhyay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366430290 PECOS PAC ID: 1153335914 Enrollment ID: I20060406000665 |
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