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Organization

ALTA PSYCHIATRY PLLC

Active
Parent organization
ALTA PSYCHIATRY PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALTA PSYCHIATRY PLLC
Authorized official
DR. CHRISTIAN BJERRE REAL MD (OWNER)
(984) 244-4926
Entity
Organization

Contact information

Practice address
18 E 41ST ST FL 14, NEW YORK, NY 10017-6244
(929) 260-2084
Mailing address
400 E 58TH ST APT 3G, NEW YORK, NY 10022-2333
(984) 244-4926

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
07/09/2022
Last updated
03/05/2024
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