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NPI Code Detail

MEDICARE: CARE PSYCHIATRIC SERVICES PLLC

MEDICARE: CARE PSYCHIATRIC SERVICES PLLC
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 : 1740959675
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE PSYCHIATRIC SERVICES PLLC
Provider Business Mailing Address
First Line : 3 WHEELER AVE
Second Line :
City : ALBERTSON
State : NY
Zip : 11507-1609
Country : US
Telephone Number : 917-470-5011
Fax Number :
Provider Business Practice Location Address
First Line : 220 MINEOLA BLVD STE 8
Second Line :
City : MINEOLA
State : NY
Zip : 11501-2533
Country : US
Telephone Number : 516-742-0320
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MADHU G RAJANNA
Credential : MD
Telephone Number : 917-470-5011
Provider Enumeration Date : 09/13/2021
Last Update Date : 04/15/2026

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Directions to “CARE PSYCHIATRIC SERVICES PLLC ” Practice Location

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