| Ketalink Ketamine Center | |
|
3000 Hempstead Tpke Ste 302 Levittown NY 11756-1385 | |
| (516) 703-4937 | |
| Not Available |
| Full Name | Ketalink Ketamine Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3000 Hempstead Tpke Ste 302, Levittown, New York |
| Authorized Official Name and Position | Winny Liang (CO-FOUNDER) |
| Authorized Official Contact | 7182230901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketalink Ketamine Center 3000 Hempstead Tpke Ste 302 Levittown NY 11756-1385 Ph: () - | Ketalink Ketamine Center 3000 Hempstead Tpke Ste 302 Levittown NY 11756-1385 Ph: (516) 703-4937 |
| NPI Number | 1346007895 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 6204379605 |
|---|---|
| Medicare Enrollment ID | O20240613002023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346007895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Leyda Hu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497169171 PECOS PAC ID: 9931471497 Enrollment ID: I20190628000333 |
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