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Organization

WEST SIDE PSYCHOTHERAPY, LCSW, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ROGAN LMSW (VICE PRESIDENT/THERAPIST)
(646) 250-3182
Entity
Organization

Contact information

Practice address
350 CENTRAL PARK W, SUITE 1A, NEW YORK, NY 10025-6547
(646) 250-3182
Mailing address
201 W 94TH ST, 3A, NEW YORK, NY 10025-6938
(646) 350-3182

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
054990-1
NY

Other

Enumeration date
07/12/2013
Last updated
07/12/2013
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