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Organization

JAMAICA PSYCHIATRIC SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEETH VIVEK MD (DIRECTOR)
(718) 206-7160
Entity
Organization

Contact information

Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-7160
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7797
(631) 454-4163

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
7003003H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01644013
NY
Enumeration date
05/28/2006
Last updated
04/10/2009
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