Island Wide Psychiatric Services Pc

LBN: Island Wide Psychiatric Services Pc
Island Wide Psychiatric Services Pc is an health care organization with primary practice located at 327 Bch 19 St , Far Rockaway NY 11691. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Island Wide Psychiatric Services Pc can be contacted via phone (516) 869-7250, or through Reddy, Harsha Vardhan via phone (516) 374-4671.

Contact Information

Primary practice address
327 Bch 19 St Far Rockaway NY 11691
Phone: (516) 869-7250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reddy, Harsha Vardhan Doctor of Medicine (MD)
Phone: (516) 374-4671

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1174727291
LBN Legal business name Island Wide Psychiatric Services Pc
DBA Doing business as
Authorized official Reddy, Harsha Vardhan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Aug 22nd, 2020 - 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 1174727291 NPPES
New York MEDICAID 02226759

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