| Mentalby | |
|
17 State St Fl 40 New York NY 10004-1547 | |
| (518) 652-1352 | |
| (518) 450-6484 |
| Full Name | Mentalby |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17 State St Fl 40, New York, New York |
| Authorized Official Name and Position | Alden A Bush (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 5186521352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentalby 17 State St Fl 40 New York NY 10004-1547 Ph: (518) 652-1352 | Mentalby 17 State St Fl 40 New York NY 10004-1547 Ph: (518) 652-1352 |
| NPI Number | 1295502235 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295502235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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