| Mindful Connections Psychiatry Pllc | |
|
8203 Main St Ste 2 Williamsville NY 14221-6051 | |
| (716) 219-3636 | |
| (716) 209-3680 |
| Full Name | Mindful Connections Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8203 Main St Ste 2, Williamsville, New York |
| Authorized Official Name and Position | Biswarup Manojkumar Ghosh (OWNER) |
| Authorized Official Contact | 2019316292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Connections Psychiatry Pllc 8203 Main St Ste 2 Williamsville NY 14221-6051 Ph: (716) 219-3636 | Mindful Connections Psychiatry Pllc 8203 Main St Ste 2 Williamsville NY 14221-6051 Ph: (716) 219-3636 |
| NPI Number | 1801674106 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 4385091347 |
|---|---|
| Medicare Enrollment ID | O20231113001997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801674106 | NPI | - | NPPES |
| Provider Name | Biswarup Manojkumar Ghosh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730333857 PECOS PAC ID: 9436313715 Enrollment ID: I20120618000502 |
| Provider Name | Hannah R Lapides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184172223 PECOS PAC ID: 7214216241 Enrollment ID: I20161116000302 |
| Provider Name | Lynn Keohane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538730049 PECOS PAC ID: 3971952383 Enrollment ID: I20231211003029 |
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