| |
123 W 79th St Apt 207 New York NY 10024-6472 | |
(212) 875-1138 | |
(516) 883-8227 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 123 W 79th St Apt 207, New York, New York |
Authorized Official Name and Position | Morisa Schiff Mayer (PRESIDENT) |
Authorized Official Contact | 5168838277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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56 Bogart Ave Port Washington NY 11050-3320 Ph: (516) 883-8277 | 123 W 79th St Apt 207 New York NY 10024-6472 Ph: (212) 875-1138 |
NPI Number | 1144394933 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1144394933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 169693 (New York) | Primary |
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