Organization
FIFTH AVENUE PSYCHIATRY ASSOCIATES, PLLC
Active
Other names
Fifth Avenue Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GLAZER MD (MANAGING MEMBER)
(212) 734-9859
Entity
Organization
Contact information
Practice address
3 E 85TH ST STE 1A, NEW YORK, NY 10028-0417
(212) 734-0506
Mailing address
3 E 85TH ST, NEW YORK, NY 10028-0417
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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