Medical Practice NY PC
NPI #1437494648 in Fresh Meadows, New York
Provider Information
- NPI Number
- 1437494648
- Entity Type
- Organization
- Organization Name
- Medical Practice NY PC
- Primary Specialty
- Psychologist - Group Psychotherapy
- Enumeration Date
- Nov 29, 2012
- Last Updated
- Nov 29, 2012
Practice Location
- Address
- 6923 168TH ST
- City
- Fresh Meadows
- State
- New York
- ZIP Code
- 11365-3213
- Phone
- (718) 755-0656
Authorized Official
- Name
- DR. YELENA MAMEDOVA BRAZ, MD
- Title
- MD
- Phone
- (718) 755-0656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Group Psychotherapy — Group Psychotherapy |
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