Organization
METTA PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVEK JAYADEVA MD (PRACTICE OWNER)
(774) 503-0968
Entity
Organization
Contact information
Practice address
3635 BELL BLVD STE 203, BAYSIDE, NY 11361-2097
(516) 320-8441
Mailing address
3635 BELL BLVD STE 203, BAYSIDE, NY 11361-2097
(516) 320-8441
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
09/11/2024
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