Healthcare Provider Details

I. General information

NPI: 1154297406
Provider Name (Legal Business Name): PAAPOY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 AVENUE OF THE AMERICAS
NEW YORK NY
10019-4702
US

IV. Provider business mailing address

251 W 138TH ST
NEW YORK NY
10030-2102
US

V. Phone/Fax

Practice location:
  • Phone: 917-816-2728
  • Fax:
Mailing address:
  • Phone: 917-816-2728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KYRA ROSS
Title or Position: OWNER
Credential: MSED
Phone: 917-816-2728