Fifth Avenue Psychiatry Associates, PLLC
Psychiatry & Neurology, Psychiatry in New York, NY. Organization (NPI-2).
NPI number1669178596
StatusActive
Last updated in NPPESFeb 2, 2023
Details
- NPI
- 1669178596
- Entity type
- Organization (NPI-2)
- Legal business name
- Fifth Avenue Psychiatry Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 2, 2023
- Certification date
- Feb 2, 2023
- Last updated
- Feb 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | |
| 2084P0802X | Psychiatry & Neurology, Addiction Psychiatry | – | – |
Other names
- Fifth Avenue Psychiatry (Doing Business As)
Practice location
3 E 85th St Ste 1aNew York, NY 10028-0417
Phone 212-734-0506
Mailing address
3 E 85th StNew York, NY 10028-0417
Other practice locations
239 Central Park W
New York, NY 10024-6038
New York, NY 10024-6038
Phone 212-734-0506
Authorized official
Samuel Glazer
Managing Member
2127349859
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