Organization
MEDICAL PSYCHIATRIC PRCATICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOITRI NATH DATTA M.D. (PRESIDENT)
(914) 723-3247
Entity
Organization
Contact information
Practice address
510 N BROADWAY, WHITE PLAINS, NY 10603-3217
(914) 723-3247
(914) 723-4211
Mailing address
9 OVERHILL RD, SCARSDALE, NY 10583-5307
(914) 723-3247
(914) 723-4211
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
138997
NY
Other
Enumeration date
02/03/2007
Last updated
08/22/2020
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