# NY PEDIATRIC PSYCHIATRY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275029555
- **Authorized official:** SANIYA KIBRIA MD (OWNER)
- **Authorized official phone:** (917) 244-6963

## Contact information

- **Practice address:** 233 7TH ST STE 200, GARDEN CITY, NY 11530-5747
- **Practice address phone:** (516) 515-1190
- **Practice address fax:** (209) 682-2030
- **Mailing address:** 233 7TH ST STE 200, GARDEN CITY, NY 11530-5747
- **Mailing address phone:** (516) 515-1190
- **Mailing address fax:** (209) 682-2030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 09/11/2019