Provider Demographics
NPI:1942031141
Name:GAIDAMAKA PSYCHIATRY LLC
Entity type:Organization
Organization Name:GAIDAMAKA PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATERYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAIDAMAKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-301-8873
Mailing Address - Street 1:9 BANFF CT
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1680
Mailing Address - Country:US
Mailing Address - Phone:215-301-8873
Mailing Address - Fax:
Practice Address - Street 1:6 KILMER RD # 1213
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2432
Practice Address - Country:US
Practice Address - Phone:215-301-8873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty