Healthcare Provider Details

I. General information

NPI: 1760303960
Provider Name (Legal Business Name): YONKERS PSYCHIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 BEDFORD AVE STE 497
BROOKLYN NY
11205-2801
US

IV. Provider business mailing address

831 BEDFORD AVE STE 497
BROOKLYN NY
11205-2801
US

V. Phone/Fax

Practice location:
  • Phone: 347-667-7924
  • Fax: 332-262-2396
Mailing address:
  • Phone: 347-667-7924
  • Fax: 332-262-2396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MAHMOOD MEHDI KAZMI
Title or Position: OWNER
Credential:
Phone: 347-667-7924