Provider Demographics
NPI:1487688172
Name:LONG-TERM CARE PSYCHIATRY
Entity Type:Organization
Organization Name:LONG-TERM CARE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:SETH
Authorized Official - Last Name:ROSENZWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-277-9933
Mailing Address - Street 1:345 BLACKSTONE BLVD
Mailing Address - Street 2:FIRST FLOOR WELD BUILDING
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4800
Mailing Address - Country:US
Mailing Address - Phone:401-277-9933
Mailing Address - Fax:401-277-9936
Practice Address - Street 1:345 BLACKSTONE BLVD
Practice Address - Street 2:FIRST FLOOR WELD BUILDING
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4800
Practice Address - Country:US
Practice Address - Phone:401-277-9933
Practice Address - Fax:401-277-9936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty