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33D2093761 CLIA NUMBER - CENTER FOR PSYCHADELIC MEDICINE

Laboratory Demographics

CLIA Number: 33D2093761

Facility Name: CENTER FOR PSYCHADELIC MEDICINE

Facility Address:
1 PARK AVE. 8TH FLOOR, RM 121
NEW YORK, NY
ZIP 10016
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Facility Phone Number: 646 501-4026

Facility Type: Hospital

Certificate Type: Waiver
NPI Number: 1669841466

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 33D2093761
LAB Type Hospital
Facility Name CENTER FOR PSYCHADELIC MEDICINE
Street 1 PARK AVE. 8TH FLOOR, RM 121
City NEW YORK
State NY
ZIP 10016
Phone 646 501-4026
CertificateType 4
CertificateEffectiveDate 4/3/2015
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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This page was last updated on: 4/23/2024