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Contact Information

ISLAND WIDE PSYCHIATRIC SERVICES PC
327 BCH 19 ST
FAR ROCKAWAY, NY11691
 Phone: 516-869-7250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ISLAND WIDE PSYCHIATRIC SERVICES PC

NPI Number 1174727291
LBN Legal business name ISLAND WIDE PSYCHIATRIC SERVICES PC
Authorized official HARSHA REDDY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY Medicaid 02226759
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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