Organization
ACCESS PSYCHIATRY OF CT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANANTHAKUMAR THILLAINATHAN MD (MD)
(516) 582-1948
Entity
Organization
Contact information
Practice address
2068 BRIDGEPORT AVE STE D, MILFORD, CT 06460-4634
(516) 582-1948
Mailing address
5 CAMDEN PL, NEW HYDE PARK, NY 11040-3601
(516) 582-1948
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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