Organization
PARKSIDE PSYCHOLOGY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVIL RAJ SHARMA PSY.D. (MEMBER)
(917) 482-6782
Entity
Organization
Contact information
Practice address
41 MADISON AVE FL 25, NEW YORK, NY 10010-2212
(917) 482-6782
(646) 202-2401
Mailing address
41 MADISON AVE FL 25, NEW YORK, NY 10010-2212
(917) 482-6782
(646) 202-2401
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
05/09/2017
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