Provider Demographics
NPI:1770717100
Name:MANHATTAN PSY.CTR
Entity type:Organization
Organization Name:MANHATTAN PSY.CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF
Authorized Official - Prefix:MR
Authorized Official - First Name:SIRAJ
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:646-672-6474
Mailing Address - Street 1:346 MERCER LOOP
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3235
Mailing Address - Country:US
Mailing Address - Phone:646-672-6474
Mailing Address - Fax:646-672-6484
Practice Address - Street 1:346 MERCER LOOP
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3235
Practice Address - Country:US
Practice Address - Phone:646-672-6474
Practice Address - Fax:646-672-6484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY29799283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital