Ap Np In Psychiatry Pc | |
77 N Centre Ave Ste 207 Rockville Ctr NY 11570-3923 | |
(631) 401-5834 | |
Not Available |
Full Name | Ap Np In Psychiatry Pc |
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Speciality | Clinic/Center |
Location | 77 N Centre Ave Ste 207, Rockville Ctr, New York |
Authorized Official Name and Position | Angela Plischtejew (CEO) |
Authorized Official Contact | 6314015834 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ap Np In Psychiatry Pc 77 N Centre Ave Ste 207 Rockville Ctr NY 11570-3923 Ph: () - | Ap Np In Psychiatry Pc 77 N Centre Ave Ste 207 Rockville Ctr NY 11570-3923 Ph: (631) 401-5834 |
NPI Number | 1073382412 |
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Provider Enumeration Date | 12/27/2023 |
Last Update Date | 12/27/2023 |
Medicare PECOS PAC ID | 9638521503 |
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Medicare Enrollment ID | O20240116002971 |
Identifier | Type | State | Issuer |
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1073382412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |