# DR OMAR BASHAYAN PHYSICIAN PLLC

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

## Provider details

- **NPI number:** 1275918096
- **Authorized official:** DR. OMAR BASHAYAN (PRESIDENT)
- **Authorized official phone:** (917) 374-2944

## Contact information

- **Practice address:** 155 W 68TH ST APT 1102, NEW YORK, NY 10023-5816
- **Practice address phone:** (917) 374-2944
- **Practice address fax:** (718) 334-3441
- **Mailing address:** 155 W 68TH ST APT 1102, NEW YORK, NY 10023-5816
- **Mailing address phone:** (917) 374-2944
- **Mailing address fax:** (718) 334-3441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 265495 | NY | Yes |

## Other

- **Enumeration date:** 07/22/2015
- **Last updated:** 07/22/2015