| Discovery Hawaii Interventional Psychiatry Pc Corp | |
|
31-631 Old Mamalahoa Hwy Hakalau HI 96710 | |
| (646) 752-6643 | |
| (305) 930-7437 |
| Full Name | Discovery Hawaii Interventional Psychiatry Pc Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 31-631 Old Mamalahoa Hwy, Hakalau, Hawaii |
| Authorized Official Name and Position | Jerry V Vaccaro (CEO) |
| Authorized Official Contact | 2147361118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Discovery Hawaii Interventional Psychiatry Pc Corp 3940 Capitol Ave Dallas TX 75204 Ph: (646) 752-6643 | Discovery Hawaii Interventional Psychiatry Pc Corp 31-631 Old Mamalahoa Hwy Hakalau HI 96710 Ph: (646) 752-6643 |
| NPI Number | 1750254645 |
|---|---|
| Provider Enumeration Date | 09/26/2025 |
| Last Update Date | 09/26/2025 |
| Certification Date | 09/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750254645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |