Organization
AMERICAN INSTITUTE OF TELEPSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASREEN RAZACK-MALIK MD (OWNER)
(321) 276-8526
Entity
Organization
Contact information
Practice address
1280 LEXINGTON AVE FRNT 2, NEW YORK, NY 10028-2136
(321) 246-8526
Mailing address
1280 LEXINGTON AVE FRNT 2, NEW YORK, NY 10028-2136
(321) 276-8526
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
07/30/2024
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