| Villagetms Llc | |
|
80 5th Ave Rm 1405 New York NY 10011-8002 | |
| (646) 685-9836 | |
| Not Available |
| Full Name | Villagetms Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 80 5th Ave Rm 1405, New York, New York |
| Authorized Official Name and Position | Yuli Fradkin (PROVIDER) |
| Authorized Official Contact | 6466859836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villagetms Llc 80 5th Ave Rm 1405 New York NY 10011-8002 Ph: (646) 685-9836 | Villagetms Llc 80 5th Ave Rm 1405 New York NY 10011-8002 Ph: (646) 685-9836 |
| NPI Number | 1255167375 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255167375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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