# RTM PHYSIATRY AND PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1417247883
- **Authorized official:** THRESIAMMA MATHEW MD (OWNER)
- **Authorized official phone:** (718) 646-0772

## Contact information

- **Practice address:** 8916 175TH ST STE CF3, JAMAICA, NY 11432-5557
- **Practice address phone:** (718) 487-3109
- **Practice address fax:** (718) 487-3081
- **Mailing address:** 2430 W 3RD ST, BROOKLYN, NY 11223-5930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 247349 | NY | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 04/19/2011
- **Last updated:** 03/08/2015