# NY PEDIATRIC PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1467002204
- **Authorized official:** SANIYA KIBRIA MD (OWNER)
- **Authorized official phone:** (914) 643-1229

## Contact information

- **Practice address:** 233 7TH ST STE OFFICE9, GARDEN CITY, NY 11530-5747
- **Practice address phone:** (917) 244-6963
- **Mailing address:** 233 7TH ST STE OFFICE9, GARDEN CITY, NY 11530-5747
- **Mailing address phone:** (917) 244-6963

## 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:** 09/13/2019
- **Last updated:** 09/13/2019