| Advanced Psychiatric Services, Pllc | |
|
1115 Broadway Ste 1091 New York NY 10010-3450 | |
| (212) 260-1554 | |
| (212) 673-2077 |
| Full Name | Advanced Psychiatric Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1115 Broadway Ste 1091, New York, New York |
| Authorized Official Name and Position | Grant H Brenner (DIRECTOR) |
| Authorized Official Contact | 9295285437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatric Services, Pllc 1115 Broadway Ste 1091 New York NY 10010-3450 Ph: (917) 476-2293 | Advanced Psychiatric Services, Pllc 1115 Broadway Ste 1091 New York NY 10010-3450 Ph: (212) 260-1554 |
| NPI Number | 1497013478 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497013478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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