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NPI Code Detail

MEDICARE: CRASMERE PSYCHIATRIC SERVICES, PC

MEDICARE: CRASMERE PSYCHIATRIC SERVICES, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1336450931
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRASMERE PSYCHIATRIC SERVICES, PC
Provider Business Mailing Address
First Line : 38 WINTHROP PL
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3043
Country : US
Telephone Number : 718-727-7077
Fax Number : 718-727-7673
Provider Business Practice Location Address
First Line : 38 WINTHROP PL
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3043
Country : US
Telephone Number : 718-727-7077
Fax Number : 718-727-7673
Authorized Official
Title or Position : PRESIDENT
Name : DR. OLGA KATZ
Credential :
Telephone Number : 718-727-7077
Provider Enumeration Date : 06/29/2010
Last Update Date : 09/13/2022

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Directions to “CRASMERE PSYCHIATRIC SERVICES, PC ” Practice Location

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