Provider Demographics
NPI:1497283741
Name:LOTUS PSYCHIATRIC CARE, PC
Entity Type:Organization
Organization Name:LOTUS PSYCHIATRIC CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEMLATA
Authorized Official - Middle Name:C
Authorized Official - Last Name:DALVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-706-1228
Mailing Address - Street 1:372 S OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3529
Mailing Address - Country:US
Mailing Address - Phone:718-706-1228
Mailing Address - Fax:516-706-6151
Practice Address - Street 1:372 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3529
Practice Address - Country:US
Practice Address - Phone:718-706-1228
Practice Address - Fax:516-706-6151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1806642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty