| Bora Colak, MD, MPH | |
|
1 5th Ave Apt 1bb, New York, NY 10003-4692 | |
| (917) 656-1955 | |
| Not Available |
| Full Name | Bora Colak |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1 5th Ave Apt 1bb, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770019895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 307504 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 307504 (New York) | Primary |
| Entity Name | The Long Island Home |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1821394016 PECOS PAC ID: 8224055108 Enrollment ID: O20110411000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Bora Colak, MD, MPH 777 Seaview Ave, Staten Island, NY 10305-3409 Ph: (718) 667-2332 | Bora Colak, MD, MPH 1 5th Ave Apt 1bb, New York, NY 10003-4692 Ph: (917) 656-1955 |
Dr. Jahannaz Dastgir, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 710 W 168th St, New York, NY 10032 Phone: 646-426-3876 Fax: 212-342-6865 | |
Dr. Lawrence S, Kegeles, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1051 Riverside Drive, Unit 31, New York, NY 10032 Phone: 212-543-5497 Fax: 212-568-6171 | |
Dr. Risa Ribakove, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 135 E 12th St, Second Floor, New York, NY 10003 Phone: 212-229-1671 | |
Dr. Laura Raquel Sirulnik, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 W 63rd St Apt 33a, New York, NY 10023 Phone: 646-258-8535 | |
Dr. Amanda Moberg Wilson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 21 W 86th St, Suite 209, New York, NY 10024 Phone: 917-715-2886 | |
Dr. Jose Dtm Gutierrez, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 710 W 168th St, 6th Floor, New York, NY 10032 Phone: 212-305-8389 | |
Nathaniel Mendelsohn, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 950 Park Ave, New York, NY 10028 Phone: 646-389-1447 |