Healthcare Provider Details
I. General information
NPI: 1033004676
Provider Name (Legal Business Name): ARIUM PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 COLUMBUS CIR STE 1425
NEW YORK NY
10019-8722
US
IV. Provider business mailing address
295 MADISON AVE 12TH FLOOR, #1034
NEW YORK NY
10017
US
V. Phone/Fax
- Phone: 303-656-9423
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0015X |
| Taxonomy | Psychosomatic Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GAD
NOY
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 303-656-9423