Healthcare Provider Details

I. General information

NPI: 1073460663
Provider Name (Legal Business Name): GALYNKER FAMILY CENTER FOR BIPOLAR DISORDER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E 46TH ST RM 1200
NEW YORK NY
10017-9246
US

IV. Provider business mailing address

20 E 46TH ST RM 1200
NEW YORK NY
10017-9246
US

V. Phone/Fax

Practice location:
  • Phone: 646-850-2290
  • Fax: 646-850-2295
Mailing address:
  • Phone: 646-850-2290
  • Fax: 646-850-2295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KENISHA FELIX
Title or Position: OFFICE MANAGER
Credential:
Phone: 646-850-2290