Provider Demographics
NPI:1811695216
Name:AMRANI ANDREI PSYCHOLOGICAL SERVICES PC
Entity type:Organization
Organization Name:AMRANI ANDREI PSYCHOLOGICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-942-0342
Mailing Address - Street 1:30 EAST 20TH STREET
Mailing Address - Street 2:SUITE 5RW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:646-942-0342
Mailing Address - Fax:
Practice Address - Street 1:30 EAST 20TH STREET
Practice Address - Street 2:SUITE 5RW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:646-942-0342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)