Healthcare Provider Details

I. General information

NPI: 1588431175
Provider Name (Legal Business Name): PERINATAL MATERNAL PSYCHIATRY OF NEW YORK PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 12/05/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 FRANKLIN ROAD
SCARSDALE NY
10583
US

IV. Provider business mailing address

2248 BROADWAY # 1831
NEW YORK NY
10024-5805
US

V. Phone/Fax

Practice location:
  • Phone: 628-432-7476
  • Fax: 628-245-7316
Mailing address:
  • Phone: 628-432-7476
  • Fax: 628-245-7316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH ORECK
Title or Position: CEO/PSYCHIATRIST
Credential: MD
Phone: 628-432-7476