Provider Demographics
NPI:1750825220
Name:PITTSBURGH PSYCHIATRY LLC
Entity Type:Organization
Organization Name:PITTSBURGH PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDRE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:DOMBROVSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-345-3517
Mailing Address - Street 1:645 RODI RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PENN HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4569
Mailing Address - Country:US
Mailing Address - Phone:412-345-3517
Mailing Address - Fax:
Practice Address - Street 1:645 RODI RD
Practice Address - Street 2:STE 200
Practice Address - City:PENN HILLS
Practice Address - State:PA
Practice Address - Zip Code:15235-4569
Practice Address - Country:US
Practice Address - Phone:412-345-3517
Practice Address - Fax:412-365-5945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-18
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4273892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty