Organization
MODERN PSYCHIATRIC SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXANDRA SHERESHEVSKAYA MD (OWNER)
(718) 259-8582
Entity
Organization
Contact information
Practice address
8747 BAY PKWY, BROOKLYN, NY 11214-5159
(718) 259-8582
Mailing address
8747 BAY PKWY, BROOKLYN, NY 11214-5159
(718) 259-8582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
197511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
NY
Enumeration date
02/16/2009
Last updated
02/16/2009
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