Provider Demographics
NPI:1568882199
Name:PSYCHIATRIC UNIT
Entity Type:Organization
Organization Name:PSYCHIATRIC UNIT
Other - Org Name:PSYCHIATRIC UNIT
Other - Org Type:Other Name
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:MAJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-655-3187
Mailing Address - Street 1:500 W 157TH ST APT 3E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-7679
Mailing Address - Country:US
Mailing Address - Phone:516-655-3187
Mailing Address - Fax:
Practice Address - Street 1:500 W 157TH ST APT 3E
Practice Address - Street 2:NY,NY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-7679
Practice Address - Country:US
Practice Address - Phone:516-655-3187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY677362-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health