Organization
MCCD KS PSYCHIATRY SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGIA GAVERAS DO (OWNER/CHIEF MEDICAL OFFICER)
(917) 309-7915
Entity
Organization
Contact information
Practice address
8101 COLLEGE BLVD STE 100, OVERLAND PARK, KS 66210-2671
(917) 634-5311
Mailing address
109 W 27TH ST # 5S, NEW YORK, NY 10001-6208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
03/18/2024
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