Psychiatry On Video LLC
NPI #1700532587 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1700532587
- Entity Type
- Organization
- Organization Name
- Psychiatry On Video LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Mar 1, 2022
- Last Updated
- Aug 25, 2023
Practice Location
- Address
- 162 E RIDGEWOOD AVE
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-3859
- Phone
- (201) 470-4006
Authorized Official
- Name
- DR. YISSELL DELVALLE, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (201) 490-4075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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