NPI: 1871966515 · NEW HYDE PARK, NY 11040 · Contractor · NPI assigned 11/03/2015
| Authorized Official | JHA, MRINAL (MANAGING MEMBER) |
| NPI Enumeration Date | 11/03/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $536.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $536.12 |