Organization
MADISON AVENUE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA ITZKOFF MD (CMO)
(917) 982-2184
Entity
Organization
Contact information
Practice address
253 W 28TH ST, NEW YORK, NY 10001-5914
(917) 451-7018
Mailing address
253 W 28TH ST, NEW YORK, NY 10001-5914
(917) 451-7018
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
07/02/2024
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