Provider Demographics
NPI:1851912596
Name:LABYRINTH PSYCHIATRY GROUP LLC
Entity Type:Organization
Organization Name:LABYRINTH PSYCHIATRY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:G
Authorized Official - Last Name:SAVATTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-750-2273
Mailing Address - Street 1:439 MERCER ST
Mailing Address - Street 2:
Mailing Address - City:STIRLING
Mailing Address - State:NJ
Mailing Address - Zip Code:07980-1315
Mailing Address - Country:US
Mailing Address - Phone:212-750-2273
Mailing Address - Fax:
Practice Address - Street 1:1503 SAINT GEORGES AVE STE 201
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-3427
Practice Address - Country:US
Practice Address - Phone:908-336-1187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty