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AZIZ A SOOMRO PHYSICIAN PC NPI 1477850790


NPI Information

NPI: 1477850790
Provider Name: AZIZ A SOOMRO PHYSICIAN PC

Doing Business As: CHAPPAQUA BEHAVIORAL MEDICINE

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1 S GREELEY AVE
SUITE 302
CHAPPAQUA, NY
ZIP 10514
Phone: (914) 238-1699
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AZIZ A SOOMRO PHYSICIAN PC is a psychiatry psychiatry neurology in Chappaqua, NY. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. AZIZ A SOOMRO PHYSICIAN PC NPI is 1477850790. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chappaqua Behavioral Medicine.

The provider's business location address is:

1 S GREELEY AVE
SUITE 302
CHAPPAQUA, NY
ZIP 10514-346
Phone: (914) 238-1699
Fax: (914) 238-1695

The provider's authorized official is Aziz Ahmed Soomro .
The authorized official title is President and has the following contact phone number (914) 238-1695.

The enumeration date for this NPI number is 2/23/2011 and was last updated on 4/9/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry246617NEW YORKNo
22084P0800XPsychiatry & NeurologyPsychiatry246617NEW YORKYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102951646MEDICAIDNEW YORK
25454306261MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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