Provider Demographics
NPI:1518523919
Name:BEHAVIORAL HEALTH MEDICAL SERVICES OF NEW YORK, P.C.
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH MEDICAL SERVICES OF NEW YORK, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLMUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-565-5887
Mailing Address - Street 1:463 7TH AVENUE
Mailing Address - Street 2:17TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7595
Mailing Address - Country:US
Mailing Address - Phone:917-408-5350
Mailing Address - Fax:855-597-5359
Practice Address - Street 1:463 7TH AVENUE
Practice Address - Street 2:17TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7595
Practice Address - Country:US
Practice Address - Phone:917-408-5350
Practice Address - Fax:855-597-5359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty