| Geetha Menon Medical Pc | |
|
1983 Marcus Ave Ste E132 Lake Success NY 11042-1030 | |
| (516) 216-1781 | |
| Not Available |
| Full Name | Geetha Menon Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1983 Marcus Ave Ste E132, Lake Success, New York |
| Authorized Official Name and Position | Geetha Menon (PRESIDENT) |
| Authorized Official Contact | 5162161781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geetha Menon Medical Pc 1983 Marcus Ave Ste E132 Lake Success NY 11042-1030 Ph: (516) 216-1781 | Geetha Menon Medical Pc 1983 Marcus Ave Ste E132 Lake Success NY 11042-1030 Ph: (516) 216-1781 |
| NPI Number | 1437392693 |
|---|---|
| Provider Enumeration Date | 04/16/2009 |
| Last Update Date | 06/16/2009 |
| Medicare PECOS PAC ID | 6002964897 |
|---|---|
| Medicare Enrollment ID | O20090505000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437392693 | NPI | - | NPPES |
| 234465 | Other | NY | NY STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 234465 (New York) | Primary |
| Provider Name | Geetha Menon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467598615 PECOS PAC ID: 5294780011 Enrollment ID: I20050315000394 |
Global Slp Ot Pt & Psychological Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 Phone: 516-327-4681 |