| Park Lenox Psychiatry | |
|
130 E 77th St New York NY 10021-1851 | |
| (212) 434-2830 | |
| (212) 434-2830 |
| Full Name | Park Lenox Psychiatry |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 130 E 77th St, New York, New York |
| Authorized Official Name and Position | Molly E Poag (CHAIR OF PSYCHIATRY) |
| Authorized Official Contact | 2124342810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Lenox Psychiatry 130 E 77th St New York NY 10021-1851 Ph: (212) 434-2830 | Park Lenox Psychiatry 130 E 77th St New York NY 10021-1851 Ph: (212) 434-2830 |
| NPI Number | 1205933215 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205933215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (New York) | Primary |
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