| Concierge Psychiatry Pllc | |
|
1129 Northern Blvd Ste 404 Manhasset NY 11030-3022 | |
| (516) 373-9334 | |
| Not Available |
| Full Name | Concierge Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1129 Northern Blvd Ste 404, Manhasset, New York |
| Authorized Official Name and Position | Jingna Zhao (OWNER) |
| Authorized Official Contact | 5164455393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Psychiatry Pllc 418 Broadway Ste N Albany NY 12207-2922 Ph: () - | Concierge Psychiatry Pllc 1129 Northern Blvd Ste 404 Manhasset NY 11030-3022 Ph: (516) 373-9334 |
| NPI Number | 1841032356 |
|---|---|
| Provider Enumeration Date | 06/07/2024 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Medicare PECOS PAC ID | 8123562709 |
|---|---|
| Medicare Enrollment ID | O20240708001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841032356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jingna Zhao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629427521 PECOS PAC ID: 1153613435 Enrollment ID: I20220201000853 |
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