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Organization
PREMIER BEHAVIORAL SERVICES INC
Active
Organization
PREMIER BEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNAMDI MADUEKWE MD (CEO)
(646) 286-9770
Entity
Organization
Contact information
Practice address
81 HALLEY DR, POMONA, NY 10970-2109
(646) 286-9770
Mailing address
81 HALLEY DR, POMONA, NY 10970-2109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
244833
NY
Other
Enumeration date
09/16/2014
Last updated
10/01/2014
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