Provider Demographics
NPI:1194880336
Name:FOREST HILLS PSYCHIATRIC SERVICES, P.C
Entity type:Organization
Organization Name:FOREST HILLS PSYCHIATRIC SERVICES, P.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-268-9595
Mailing Address - Street 1:7558 113TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7427
Mailing Address - Country:US
Mailing Address - Phone:718-268-9595
Mailing Address - Fax:718-268-9528
Practice Address - Street 1:7558 113TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7427
Practice Address - Country:US
Practice Address - Phone:718-268-9595
Practice Address - Fax:718-268-9528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02802326Medicaid
NYI33209Medicare UPIN
NYF61764Medicare UPIN
NYF94903Medicare UPIN
NY02802326Medicaid