Provider Demographics
NPI:1073096632
Name:CITY PSYCHOLOGY
Entity Type:Organization
Organization Name:CITY PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSHING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-704-4723
Mailing Address - Street 1:80 8TH AVE STE 709
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7176
Mailing Address - Country:US
Mailing Address - Phone:212-365-5056
Mailing Address - Fax:
Practice Address - Street 1:80 8TH AVE STE 709
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7176
Practice Address - Country:US
Practice Address - Phone:212-365-5056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty