Healthcare Provider Details

I. General information

NPI: 1750825220
Provider Name (Legal Business Name): PITTSBURGH PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2016
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 RODI RD STE 200
PENN HILLS PA
15235-4569
US

IV. Provider business mailing address

645 RODI RD STE 200
PENN HILLS PA
15235-4569
US

V. Phone/Fax

Practice location:
  • Phone: 412-345-3517
  • Fax: 412-365-5945
Mailing address:
  • Phone: 412-345-3517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD427389
License Number StatePA

VIII. Authorized Official

Name: MR. ALEXANDRE Y. DOMBROVSKI
Title or Position: PARTNER
Credential: MD
Phone: 412-345-3517