Suffern Psychiatric Services LLC
Psychiatry & Neurology, Psychiatry in Suffern, NY. Organization (NPI-2).
NPI number1497842876
StatusActive
Last updated in NPPESMar 20, 2008
Details
- NPI
- 1497842876
- Entity type
- Organization (NPI-2)
- Legal business name
- Suffern Psychiatric Services LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Mar 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 148678 | NY | Yes |
Practice location
255 Lafayette AveGood Samaritan Hospital Behavior Health Dept
Suffern, NY 10901
Phone 845-368-5251 · Fax 845-557-0300
Mailing address
Po Box 797New City, NY 10956
Phone 845-557-0300 · Fax 845-557-0300
Authorized official
Mahomed S Bhana
Managing Director
8453685251
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