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Organization
RA PSYCHIATRIC NP SERVICES PLLC
Active
Organization
RA PSYCHIATRIC NP SERVICES PLLC
Active
Other names
SouthEnd Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
REAGAN ANUSIONWU NPP (CEO)
(917) 557-6064
Entity
Organization
Contact information
Practice address
2722 HERING AVE, BRONX, NY 10469-5321
(917) 557-6064
Mailing address
2722 HERING AVE, BRONX, NY 10469-5321
(917) 557-6064
(917) 591-4505
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/20/2020
Last updated
10/02/2020
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