Organization
SLR PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M HACK (BILLING MANAGER)
(212) 523-2965
Entity
Organization
Contact information
Practice address
1090 AMSTERDAM AVE, SUITE 16C, NEW YORK, NY 10025-1737
(212) 523-2965
(212) 636-1303
Mailing address
1090 AMSTERDAM AVE, SUITE 16C, NEW YORK, NY 10025-1737
(212) 523-2965
(212) 636-1303
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01540798
—
NY
Enumeration date
07/05/2006
Last updated
08/22/2020
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