Empire State Psychiatric Medicine PLLC
Psychiatry & Neurology, Psychiatry in New York, NY. Organization (NPI-2).
NPI number1245087261
StatusActive
Last updated in NPPESMay 9, 2024
Details
- NPI
- 1245087261
- Entity type
- Organization (NPI-2)
- Legal business name
- Empire State Psychiatric Medicine PLLC
- Organization subpart
- No
- Enumeration date
- May 6, 2024
- Certification date
- May 9, 2024
- Last updated
- May 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 102L00000X | Psychoanalyst | – | – | |
| 103T00000X | Psychologist | – | – | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 104100000X | Social Worker | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
315 Madison Ave Rm 2000New York, NY 10017-5416
Phone 646-661-5225
Mailing address
Po Box 2786Ridgeland, MS 39158-2786
Phone 256-656-0145
Authorized official
Frank Perkins
Partner
2566560145
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