# NY MIND BODY NP IN PSYCHIATRY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710807409
- **Authorized official:** FATEMA S SADEQUE-IQBAL NP (PRESIDENT)
- **Authorized official phone:** (718) 973-3943

## Contact information

- **Practice address:** 1510 CASTLE HILL AVE \# 1055, BRONX, NY 10462-4399
- **Practice address phone:** (718) 973-3943
- **Mailing address:** 3325 69TH ST, WOODSIDE, NY 11377-2239
- **Mailing address phone:** (718) 973-3943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2026
- **Last updated:** 07/21/2026