Organization
CHILD AND FAMILY PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA TAPIA (OFFICE MANAGER)
(347) 510-3638
Entity
Organization
Contact information
Practice address
3510 BAINBRIDGE AVE, S1, BRONX, NY 10467-1409
(718) 655-5552
(201) 357-4163
Mailing address
347 VANDELINDA AVE, PH, TEANECK, NJ 07666-3120
(718) 655-5552
(201) 357-4163
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
213505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02057578
—
NY
Enumeration date
12/31/2014
Last updated
12/31/2014
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