| Wise Mind Living Psychiatry Pc | |
|
330 W 58th St Ste 313 New York NY 10019-1821 | |
| (212) 579-3639 | |
| (917) 725-8234 |
| Full Name | Wise Mind Living Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 330 W 58th St Ste 313, New York, New York |
| Authorized Official Name and Position | Mark William Wilson (OWNER) |
| Authorized Official Contact | 2125793639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind Living Psychiatry Pc 330 W 58th St Ste 313 New York NY 10019-1821 Ph: (212) 579-3639 | Wise Mind Living Psychiatry Pc 330 W 58th St Ste 313 New York NY 10019-1821 Ph: (212) 579-3639 |
| NPI Number | 1174123327 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174123327 | NPI | - | NPPES |
| 5862037 | Other | NY | WE DO NOT ACCEPT INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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