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Organization

SUFFERN PSYCHIATRIC SERVICES LLC

Active
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Organization

SUFFERN PSYCHIATRIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHOMED S BHANA MD (MANAGING DIRECTOR)
(845) 368-5251
Entity
Organization

Contact information

Practice address
255 LAFAYETTE AVE, GOOD SAMARITAN HOSPITAL BEHAVIOR HEALTH DEPT, SUFFERN, NY 10901
(845) 368-5251
(845) 557-0300
Mailing address
PO BOX 797, NEW CITY, NY 10956
(845) 557-0300
(845) 557-0300

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
148678
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02753533
NY
Enumeration date
10/06/2006
Last updated
03/20/2008
About Stedi
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