Provider Demographics
NPI:1851176929
Name:J.J. D'ORAZIO, INTEGRATIVE PSYCHIATRIC, N.P., P.C.
Entity Type:Organization
Organization Name:J.J. D'ORAZIO, INTEGRATIVE PSYCHIATRIC, N.P., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JENNINGS
Authorized Official - Last Name:D'ORAZIO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:917-405-0775
Mailing Address - Street 1:808 COLUMBUS AVE APT 17E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5162
Mailing Address - Country:US
Mailing Address - Phone:917-405-0775
Mailing Address - Fax:646-918-6263
Practice Address - Street 1:350 CENTRAL PARK W APT 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-8842
Practice Address - Country:US
Practice Address - Phone:917-405-0775
Practice Address - Fax:646-918-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty