| Qsp Enterprise LLC | |
|
2280 Grand Ave Baldwin NY 11510-3164 | |
| (617) 652-0223 | |
| Not Available |
| Full Name | Qsp Enterprise LLC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2280 Grand Ave, Baldwin, New York |
| Authorized Official Name and Position | Qiana Smith (PSYCHIATRIST) |
| Authorized Official Contact | 6176520223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qsp Enterprise LLC 2280 Grand Ave Ste 312 Baldwin NY 11510-3110 | Qsp Enterprise LLC 2280 Grand Ave Baldwin NY 11510-3164 Ph: (617) 652-0223 |
| NPI Number | 1881529428 |
|---|---|
| Provider Enumeration Date | 06/15/2026 |
| Last Update Date | 06/15/2026 |
| Certification Date | 06/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881529428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (NU) | Secondary |
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