Organization
PSYCHIATRY SERVICES OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STACEY BRONSON (AUTHORIZED OFFICIAL)
(978) 222-3121
Entity
Organization
Contact information
Practice address
3300 JAMES ST STE 100, SYRACUSE, NY 13206-2392
(315) 422-0300
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(952) 246-4564
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/14/2023
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