ADVANCED PSYCHIATRIC PC NPI 1720190911

NPI Information

ADVANCED PSYCHIATRIC PC is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED PSYCHIATRIC PC NPI is 1720190911. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 W 60TH ST
SUITE 1N
NEW YORK, NY
ZIP 10023-902
Phone: (212) 581-1300
Fax: (212) 581-4466

The provider's authorized official is Benjamin Bukholts .
The authorized official title is Presedent and has the following contact phone number (212) 581-1300.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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