Organization
REMEDTX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYACHESLAV KUYAN (OPERATIONS LEAD)
(718) 839-0415
Entity
Organization
Contact information
Practice address
220 5TH AVE, NEW YORK, NY 10001-7708
(347) 727-1758
Mailing address
9450 SW GEMINI DR # 101, BEAVERTON, OR 97008-7105
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
04/10/2025
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