Forest Hills Psychiatric Pc
LBN: Forest Hills Psychiatric Pc
Forest Hills Psychiatric Pc is an health care organization with primary practice located at 76-03 113Th St , Forest Hills NY 11375-6585. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Forest Hills Psychiatric Pc can be contacted via phone (718) 268-1100, or through Rasool, Shama via phone (718) 268-1100.
Contact Information
Primary practice address
76-03 113Th St
Forest Hills NY 11375-6585
Phone: (718) 268-1100
Fax: (718) 268-6418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 016036 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R056338 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 159418 | New York |
Profile Details
| NPI number | 1437218674 |
|---|---|
| LBN Legal business name | Forest Hills Psychiatric Pc |
| DBA Doing business as | |
| Authorized official | Rasool, Shama Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | May 7th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437218674 | NPPES |
| New York | Other | 016036 | DR MINI POTHEN LICENSE# |
| New York | MEDICAID | 00929204 | DR MINI POTHEN LICENSE# |
| New York | Other | 159418 | DR MINI POTHEN LICENSE# |
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