Provider Demographics
NPI:1770033581
Name:SKYPIATRIST PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:SKYPIATRIST PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SANDIP
Authorized Official - Middle Name:P
Authorized Official - Last Name:BUCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-446-0004
Mailing Address - Street 1:95 EASTERN PKWY
Mailing Address - Street 2:APT. 3E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5935
Mailing Address - Country:US
Mailing Address - Phone:844-384-2779
Mailing Address - Fax:303-942-6679
Practice Address - Street 1:169 WYTHE AVE APT 104
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-3102
Practice Address - Country:US
Practice Address - Phone:844-384-2779
Practice Address - Fax:303-942-6679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty