| Advanced Psychiatric Care Pc | |
|
99 Brighton 11 Street Brooklyn NY 11235 | |
| (718) 238-2285 | |
| (718) 332-7412 |
| Full Name | Advanced Psychiatric Care Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 99 Brighton 11 Street, Brooklyn, New York |
| Authorized Official Name and Position | Anna Kharitonova (PHYSICIAN) |
| Authorized Official Contact | 7182382285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatric Care Pc 345 82nd Street Brooklyn NY 11209 Ph: (718) 238-2285 | Advanced Psychiatric Care Pc 99 Brighton 11 Street Brooklyn NY 11235 Ph: (718) 238-2285 |
| NPI Number | 1043341324 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 10/15/2007 |
| Medicare PECOS PAC ID | 4486669595 |
|---|---|
| Medicare Enrollment ID | O20060210000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043341324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 208942 (New York) | Primary |
| Provider Name | Anna Kharitonova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619032539 PECOS PAC ID: 4587656350 Enrollment ID: I20060210000361 |
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