Organization
ADVANCED PSYCHIATRIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BUKHOLTS M.D. (PRESEDENT)
(212) 581-1300
Entity
Organization
Contact information
Practice address
30 W 60TH ST, SUITE 1N, NEW YORK, NY 10023-7902
(212) 581-1300
(212) 581-4466
Mailing address
30 W 60TH ST, SUITE 1N, NEW YORK, NY 10023-7902
(212) 581-1300
(212) 581-4466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
202438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01733297
—
NY
Enumeration date
08/31/2006
Last updated
11/05/2007
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