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Organization
BRONXVILLE PSYCHIATRIC WELLNESS GROUP, P.C.
Active
Organization
BRONXVILLE PSYCHIATRIC WELLNESS GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHANA LATIF M.D. (PRESIDENT)
(914) 337-3253
Entity
Organization
Contact information
Practice address
130 PONDFIELD RD, SUITE 2, BRONXVILLE, NY 10708-4015
(914) 337-3253
(914) 337-7013
Mailing address
130 PONDFIELD RD, SUITE 2, BRONXVILLE, NY 10708-4015
(914) 337-3253
(914) 337-7013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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