Organization
MIND BODY PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATA LEWIS MD (OWNER)
(646) 606-2663
Entity
Organization
Contact information
Practice address
49 8TH AVE, BROOKLYN, NY 11217-3901
(646) 606-2663
Mailing address
49 8TH AVE, BROOKLYN, NY 11217-3901
(646) 606-2663
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
098006
NY
1041C0700X
Clinical Social Worker
084128
NY
2084P0800X
Psychiatry Physician
Primary
246720
NY
2084P0800X
Psychiatry Physician
285499
NY
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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