Organization
CREATIVE CARE PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHAR HADJIESMAEILOO MD (CEO/CMO)
(646) 565-8366
Entity
Organization
Contact information
Practice address
263 9TH AVE, NEW YORK, NY 10001-6638
(646) 565-8366
(844) 974-2238
Mailing address
263 9TH AVE APT 1A, NEW YORK, NY 10001-6604
(703) 980-5042
(833) 974-2238
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/10/2022
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