| Queens Psychiatric & Medical Care P.c. | |
|
9520 63rd Rd Suite J Rego Park NY 11374-1160 | |
| (718) 459-1225 | |
| (718) 459-5805 |
| Full Name | Queens Psychiatric & Medical Care P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9520 63rd Rd, Rego Park, New York |
| Authorized Official Name and Position | Raymond Tam (PRESIDENT) |
| Authorized Official Contact | 7184591225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Psychiatric & Medical Care P.c. 9520 63rd Rd Suite J Rego Park NY 11374-1160 Ph: (718) 459-1225 | Queens Psychiatric & Medical Care P.c. 9520 63rd Rd Suite J Rego Park NY 11374-1160 Ph: (718) 459-1225 |
| NPI Number | 1497119846 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Medicare PECOS PAC ID | 0244521714 |
|---|---|
| Medicare Enrollment ID | O20160614001814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497119846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Ludmila Davidov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457311987 PECOS PAC ID: 1355335027 Enrollment ID: I20040414000681 |
| Provider Name | Bruce D Schweiger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407958481 PECOS PAC ID: 3971639113 Enrollment ID: I20110310000099 |
| Provider Name | Jiji George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548516867 PECOS PAC ID: 8628208634 Enrollment ID: I20140312001476 |
| Provider Name | Erica Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053685206 PECOS PAC ID: 9830320084 Enrollment ID: I20140401001042 |
| Provider Name | Nagmo Fatakhova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821018359 PECOS PAC ID: 9234220310 Enrollment ID: I20151005001343 |
| Provider Name | Hilma L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245760503 PECOS PAC ID: 0547594822 Enrollment ID: I20190619003041 |
| Provider Name | Shenique Ranger- Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942841200 PECOS PAC ID: 1355771098 Enrollment ID: I20200421003146 |
| Provider Name | Felicia A Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154767499 PECOS PAC ID: 4981023652 Enrollment ID: I20200929003013 |
Luc Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9701 66th Ave, Rego Park, NY 11374 Phone: 917-400-8354 | |
Tatyana Yuzbashyan Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 97-01 66th Ave., Rego Park, NY 11374 Phone: 718-275-5200 Fax: 718-275-6864 | |
Raymond Tam, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9520 63rd Rd, Suite J, Rego Park, NY 11374 Phone: 718-459-1225 Fax: 718-459-5805 | |
Comprehensive Licensed Behavior Analyst, Pllc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6264 Saunders St Apt D3, Rego Park, NY 11374 Phone: 646-868-3815 | |
Laura Amram Psychiatry Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 95-20 63 Road, Suite O, Rego Park, NY 11374 Phone: 718-755-0656 Fax: 888-500-0406 | |
Doug Uhlig Psychological Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6344 Saunders St Ste 102, Rego Park, NY 11374 Phone: 917-617-6731 | |
Krystal Ortiz Lmhc Mental Health Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6344 Saunders St, Rego Park, NY 11374 Phone: 929-378-5005 |