Organization
FULL GESTALT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MEIKSON (CONSULTANT)
(917) 842-8765
Entity
Organization
Contact information
Practice address
5 W 86TH ST APT 1B, NEW YORK, NY 10024-3663
(917) 215-1629
Mailing address
5 W 86TH ST APT 1B, NEW YORK, NY 10024-3663
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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