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Organization
R & V NP IN PSYCHIATRIC SERVICES PLLC
Active
Organization
R & V NP IN PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REAGAN ANUSIONWU (FOUNDER)
(718) 309-0381
Entity
Organization
Contact information
Practice address
340 TRINITY PL, MALVERNE, NY 11565-1248
(917) 557-6064
(917) 591-4505
Mailing address
1850 LAFAYETTE AVE APT 6E, BRONX, NY 10473-2837
(646) 844-0518
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03623232
—
NY
Enumeration date
03/28/2019
Last updated
09/24/2019
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