New York State Neuropsychological State Of Mind Pc

LBN: New York State Neuropsychological State Of Mind Pc
New York State Neuropsychological State Of Mind Pc is an health care organization with primary practice located at 8460 123Rd St , Kew Gardens NY 11415-3305. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. New York State Neuropsychological State Of Mind Pc can be contacted via phone (718) 441-0166, or through Hafeez, Sanam via phone (718) 441-0166.

Contact Information

Primary practice address
8460 123Rd St Kew Gardens NY 11415-3305
Phone: (718) 441-0166
Fax: (718) 805-2054
Website:
Map and Directions
Authorized official contact:
Name: Hafeez, Sanam
Phone: (718) 441-0166

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 016117 New York

Profile Details

NPI number 1013414705
LBN Legal business name New York State Neuropsychological State Of Mind Pc
DBA Doing business as
Authorized official Hafeez, Sanam
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 6 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 1013414705 NPPES
New York MEDICAID 02936607

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