Organization
BARRY REISBERG, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY REISBERG M.D. (PRESIDENT)
(212) 889-7579
Entity
Organization
Contact information
Practice address
20 WATERSIDE PLAZA, 7K, NEW YORK, NY 10010-2619
(212) 889-7579
(212) 263-6991
Mailing address
20 WATERSIDE PLAZA, 7K, NEW YORK, NY 10010-2619
(212) 889-7579
(212) 263-6991
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD00563713
—
NY
Enumeration date
09/03/2015
Last updated
09/03/2015
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