Organization
EAST SIDE PSYCHIATRIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S BELFAR MD (OWNER)
(212) 434-5393
Entity
Organization
Contact information
Practice address
416 E 76TH ST, 4TH FLOOR, NEW YORK, NY 10021-3104
(212) 434-5393
Mailing address
416 E 76TH ST, 4TH FLOOR, NEW YORK, NY 10021-3104
(212) 434-5393
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
213E00000X
Podiatrist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02516741
—
NY
Enumeration date
06/03/2006
Last updated
10/09/2007
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