Organization
HISPANIC PSYCHOANALYST OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE PINA LMHC, LPSYA (PRESIDENT & CEO)
(347) 884-3544
Entity
Organization
Contact information
Practice address
5030 BROADWAY, SUITE 620, NEW YORK, NY 10034-1609
(347) 884-3544
Mailing address
5030 BROADWAY, SUITE 620, NEW YORK, NY 10034-1609
(347) 884-3544
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
000886
NY
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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