Organization
ES PSYCHIATRIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SHALTS MD (OWNER)
(646) 301-2578
Entity
Organization
Contact information
Practice address
99 HUDSON ST, 5TH FLOOR, OFFICE 501, NEW YORK, NY 10013-2815
(646) 301-2578
Mailing address
725 RIVER RD, SUITE 32-79, EDGEWATER, NJ 07020-1171
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
209237
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401988
NY
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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