Provider Demographics
NPI:1982455069
Name:CENTRAL PARK PSYCHIATRY
Entity Type:Organization
Organization Name:CENTRAL PARK PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:NASH
Authorized Official - Last Name:MOYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-820-0164
Mailing Address - Street 1:266 ELDERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2308
Mailing Address - Country:US
Mailing Address - Phone:917-412-9638
Mailing Address - Fax:
Practice Address - Street 1:983 PARK AVE STE 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0808
Practice Address - Country:US
Practice Address - Phone:646-820-0164
Practice Address - Fax:646-453-6203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty