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:
Map and Directions
Authorized official contact:
Name: Rasool, Shama Doctor of Medicine (MD)
Phone: (718) 268-1100

Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
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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