Provider Demographics
NPI:1295266302
Name:STIM PSYCHIATRIC PLLC
Entity type:Organization
Organization Name:STIM PSYCHIATRIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-375-0755
Mailing Address - Street 1:615 AVENUE L
Mailing Address - Street 2:&#8453; NEUROCARE TMS
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5121
Mailing Address - Country:US
Mailing Address - Phone:718-375-0755
Mailing Address - Fax:
Practice Address - Street 1:615 AVENUE L
Practice Address - Street 2:C/O NEUROCARE TMS
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5121
Practice Address - Country:US
Practice Address - Phone:718-375-0755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1005492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty