| Care Psychiatric Services Pllc | |
|
220 Mineola Blvd Ste 8 Mineola NY 11501-2533 | |
| (516) 742-0320 | |
| Not Available |
| Full Name | Care Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 220 Mineola Blvd Ste 8, Mineola, New York |
| Authorized Official Name and Position | Madhu G Rajanna (MEMBER) |
| Authorized Official Contact | 9174705011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Psychiatric Services Pllc 3 Wheeler Ave Albertson NY 11507-1609 Ph: (917) 470-5011 | Care Psychiatric Services Pllc 220 Mineola Blvd Ste 8 Mineola NY 11501-2533 Ph: (516) 742-0320 |
| NPI Number | 1740959675 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Medicare PECOS PAC ID | 5991184004 |
|---|---|
| Medicare Enrollment ID | O20220621001457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740959675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Madhu G Rajanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275626434 PECOS PAC ID: 5395743595 Enrollment ID: I20061125000002 |
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