Organization
NY PEDIATRIC PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANIYA KIBRIA MD (OWNER)
(914) 643-1229
Entity
Organization
Contact information
Practice address
233 7TH ST STE OFFICE9, GARDEN CITY, NY 11530-5747
(917) 244-6963
Mailing address
233 7TH ST STE OFFICE9, GARDEN CITY, NY 11530-5747
(917) 244-6963
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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