| NPI | 1669178596 |
|---|---|
| Doing Business As | FIFTH AVENUE PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | SAMUEL GLAZER Managing Member 212-734-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |