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Organization
NEW YORK PSYCHIATRIC SERVICES, P.C.
Active
Organization
NEW YORK PSYCHIATRIC SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISKANDER DERD ENIKEEV M.D., PH.D. (MEDICAL DIRECTOR)
(718) 331-3800
Entity
Organization
Contact information
Practice address
6415 BAY PARKWAY, BROOKLYN, NY 11204
(718) 331-3800
Mailing address
6415 BAY PARKWAY, BROOKLYN, NY 11204
(718) 331-3800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226855
—
NY
Enumeration date
05/04/2007
Last updated
10/05/2007
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