Organization
LICH FACULTY PRACTICE
Active
Parent organization
LONG ISLAND COLLEGE HOSPITAL
Other names
LICH Faculty Practice Psychiatric Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG ISLAND COLLEGE HOSPITAL
Authorized official
JOHN BYRNE (CHIEF OPERATING OFFICER)
(718) 780-4997
Entity
Organization
Contact information
Practice address
97 AMITY ST, 6TH FLOOR, BROOKLYN, NY 11201-6004
(718) 780-4952
(718) 780-1827
Mailing address
97 AMITY ST, 6TH FLOOR, BROOKLYN, NY 11201-6004
(718) 780-4952
(718) 780-1827
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/16/2008
Last updated
09/30/2009
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