Medical Psychiatric Prcatice, Pc | |
510 N Broadway White Plains NY 10603-3217 | |
(914) 723-3247 | |
(914) 723-4211 |
Full Name | Medical Psychiatric Prcatice, Pc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 510 N Broadway, White Plains, New York |
Authorized Official Name and Position | Moitri Nath Datta (PRESIDENT) |
Authorized Official Contact | 9147233247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medical Psychiatric Prcatice, Pc 9 Overhill Rd Scarsdale NY 10583-5307 Ph: (914) 723-3247 | Medical Psychiatric Prcatice, Pc 510 N Broadway White Plains NY 10603-3217 Ph: (914) 723-3247 |
NPI Number | 1023156601 |
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Provider Enumeration Date | 02/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1023156601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 138997 (New York) | Primary |
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