Organization
DR. DITZELL PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S DITZELL DO (PSYCHIATRIST)
(917) 612-0483
Entity
Organization
Contact information
Practice address
576 5TH AVE STE 805, NEW YORK, NY 10036-4826
(917) 842-5337
(917) 591-7834
Mailing address
576 5TH AVE STE 805, NEW YORK, NY 10036-4826
(917) 842-5337
(917) 591-7834
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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