Provider Demographics
NPI:1043574601
Name:EAST END PSYCHIATRIC SERVICES, PC
Entity Type:Organization
Organization Name:EAST END PSYCHIATRIC SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMARSINGH
Authorized Official - Middle Name:
Authorized Official - Last Name:GHORPADE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-279-1953
Mailing Address - Street 1:525 SILVER LN
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1942
Mailing Address - Country:US
Mailing Address - Phone:718-780-3139
Mailing Address - Fax:718-780-3774
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-3139
Practice Address - Fax:718-780-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2087082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty