Provider Demographics
NPI:1235539834
Name:ANXIETY AND DEPRESSION MEDICAL OF SCARSDALE, PLLC
Entity Type:Organization
Organization Name:ANXIETY AND DEPRESSION MEDICAL OF SCARSDALE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:FAIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMEEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-574-5390
Mailing Address - Street 1:455 CENTRAL PARK AVE STE 311
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1034
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:455 CENTRAL PARK AVE STE 311
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1034
Practice Address - Country:US
Practice Address - Phone:914-574-5390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1789222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty