Provider Demographics
NPI:1831350842
Name:BRONX PSYCHIATRIC CENTER
Entity type:Organization
Organization Name:BRONX PSYCHIATRIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PSYCHIATRY
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SATHANANTHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-860-5081
Mailing Address - Street 1:9128 84TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-2929
Mailing Address - Country:US
Mailing Address - Phone:718-296-1819
Mailing Address - Fax:
Practice Address - Street 1:9128 84TH ST
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2929
Practice Address - Country:US
Practice Address - Phone:718-296-1819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP47582283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital