Organization
FULL CIRCLE HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK H. SUITE M.D. (PSYCHIATRIST)
(718) 518-7600
Entity
Organization
Contact information
Practice address
1136 NEILL AVENUE, BRONX, NY 10461-2108
(718) 518-7600
(718) 518-7647
Mailing address
1136 NEILL AVE, BRONX, NY 10461-1328
(718) 518-7600
(718) 518-7647
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02501820
—
NY
Enumeration date
08/31/2007
Last updated
11/17/2015
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