Organization
CENTRAL PARK WELLNESS CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN STIMAN LCSW (MEMBER)
(914) 874-5521
Entity
Organization
Contact information
Practice address
1075 CENTRAL PARK AVE, 307, SCARSDALE, NY 10583-3242
(914) 874-5521
Mailing address
1075 CENTRAL PARK AVE, 307, SCARSDALE, NY 10583-3242
(914) 874-5521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
076063-1
NY
2084P0800X
Psychiatry Physician
Primary
228745
NY
2084P0800X
Psychiatry Physician
228923
NY
Other
Enumeration date
07/05/2011
Last updated
10/28/2011
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