Provider Demographics
NPI: | 1780397653 |
---|---|
Name: | ALL AMERICAN PSYCHIATRIC PRACTICE PC |
Entity type: | Organization |
Organization Name: | ALL AMERICAN PSYCHIATRIC PRACTICE PC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT/MEDICAL DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JASWINDERJIT |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SINGH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 718-801-1205 |
Mailing Address - Street 1: | 70 E SUNRISE HWY STE 500 |
Mailing Address - Street 2: | |
Mailing Address - City: | VALLEY STREAM |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11581-1233 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 718-577-2583 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 70 E SUNRISE HWY STE 500 |
Practice Address - Street 2: | |
Practice Address - City: | VALLEY STREAM |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11581-1233 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-577-2583 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-01-05 |
Last Update Date: | 2023-01-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Single Specialty |