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Organization
PSYCHIATRY AND PSYCHOTHERAPY PRACTICE P.C.
Active
Organization
PSYCHIATRY AND PSYCHOTHERAPY PRACTICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICIO MURILLO MD (PRESIDENT)
(718) 239-0030
Entity
Organization
Contact information
Practice address
500 EAST 83RD STREET, STE 19M, NEW YORK, NY 10028-7244
(718) 239-0030
(718) 239-0032
Mailing address
500 EAST 83RD STREET, STE 19M, NEW YORK, NY 10028-7244
(718) 239-0030
(718) 239-0032
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02657587
—
NY
Enumeration date
06/29/2006
Last updated
03/02/2015
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