Sr Psychological Services PC
Psychologist in New York, NY. Organization (NPI-2).
NPI number1265833404
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1265833404
- Entity type
- Organization (NPI-2)
- Legal business name
- Sr Psychological Services PC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2014
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 016729 | NY | Yes |
Practice location
303 5th AveSte 502
New York, NY 10016-6644
Phone 917-705-6155 · Fax 212-252-8808
Mailing address
303 5th AveSte 502
New York, NY 10016-6644
Phone 917-705-6155 · Fax 212-252-8808
Authorized official
Sam Khan
Manager
5123555735
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