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Organization
NYC PSYCHIATRIST PC
Active
Organization
NYC PSYCHIATRIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZLATIN IVANOV (MD)
(917) 704-4069
Entity
Organization
Contact information
Practice address
122 E 25TH ST, GROUND LEVEL, WEST ENTRANCE, NEW YORK, NY 10010-2936
(917) 704-4069
Mailing address
122 E 25TH ST, GROUND LEVEL, WEST ENTRANCE, NEW YORK, NY 10010-2936
(917) 704-4069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
242883
NY
Other
Enumeration date
06/19/2015
Last updated
06/22/2015
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