Organization
HOPE PSYCHIATRIC WELLNESS SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASTAN REDDY LOKIREDDY MD (CEO)
(516) 616-0648
Entity
Organization
Contact information
Practice address
864 THIRD AVE, FRANKLIN SQUARE, NY 11010-1829
(516) 616-0648
Mailing address
864 THIRD AVE, FRANKLIN SQUARE, NY 11010-1829
(516) 616-0648
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124431440
—
NY
Enumeration date
02/01/2021
Last updated
05/19/2022
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