MEDICARE: GLOBAL 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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1982049342
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL PSYCHIATRIC SERVICES, PC

Provider Business Mailing Address
First Line	:	153 HOMEWOOD AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10701-5228
Country	:	US
Telephone Number	:	917-557-1748
Fax Number	:

Provider Business Practice Location Address
First Line	:	286 FORT WASHINGTON AVE
Second Line	:	SUITE 1I
City	:	NEW YORK
State	:	NY
Zip	:	10032-1315
Country	:	US
Telephone Number	:	917-557-1748
Fax Number	:

Authorized Official
Title or Position	:	MD/OWNER
Name	:	MIGUEL HERNANDEZ
Credential	:	MD
Telephone Number	:	917-557-1748

Provider Enumeration Date	:	04/30/2013
Last Update Date	:	04/30/2013

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