| Mind Over Matter Np In Psychiatry And Family Health P.c. | |
|
47 Stuart Dr Syosset NY 11791-5123 | |
| (718) 501-7859 | |
| Not Available |
| Full Name | Mind Over Matter Np In Psychiatry And Family Health P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 47 Stuart Dr, Syosset, New York |
| Authorized Official Name and Position | Alexander Ivan Gumbs (CEO) |
| Authorized Official Contact | 7185017859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Over Matter Np In Psychiatry And Family Health P.c. 47 Stuart Dr Syosset NY 11791-5123 Ph: (718) 501-7859 | Mind Over Matter Np In Psychiatry And Family Health P.c. 47 Stuart Dr Syosset NY 11791-5123 Ph: (718) 501-7859 |
| NPI Number | 1588249114 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/15/2021 |
| Medicare PECOS PAC ID | 8022407931 |
|---|---|
| Medicare Enrollment ID | O20211116000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588249114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Alexander I Gumbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750764007 PECOS PAC ID: 4385923549 Enrollment ID: I20161111000910 |
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