# I - VIEW PSYCHIATRIC NP BEHAVIORAL THERAPY PC

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

## Provider details

- **NPI number:** 1720535099
- **Authorized official:** MR. ABRAHAM MASARA N.P (CEO)
- **Authorized official phone:** (315) 552-1949

## Contact information

- **Practice address:** 5640 E TAFT RD, 5096, SYRACUSE, NY 13220-9810
- **Practice address phone:** (315) 552-1949
- **Mailing address:** 5640 E TAFT RD, 5096, SYRACUSE, NY 13220-9810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 401836 | NY | Yes |

## Other

- **Enumeration date:** 09/04/2016
- **Last updated:** 09/04/2016