Organization
PREMIER PSYCHIATRIC CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YISSELL DELVALLE (PRESIDENT)
(917) 345-4273
Entity
Organization
Contact information
Practice address
6000 WASHINGTON ST, WEST NEW YORK, NJ 07093-1420
(201) 864-4897
(201) 864-4871
Mailing address
6000 WASHINGTON ST, WEST NEW YORK, NJ 07093-1420
(201) 864-4897
(201) 864-4871
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
25MA0821070
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750585709
NPI
NJ
Enumeration date
04/08/2010
Last updated
12/07/2022
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