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NPI Code Detail

MEDICARE: BRYANT WEST PSYCHOLOGY PLLC

MEDICARE: BRYANT WEST PSYCHOLOGY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1164187621
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRYANT WEST PSYCHOLOGY PLLC
Provider Business Mailing Address
First Line : 1430 BROADWAY RM 1510
Second Line :
City : NEW YORK
State : NY
Zip : 10018-3368
Country : US
Telephone Number : 212-262-2850
Fax Number : 833-608-1002
Provider Business Practice Location Address
First Line : 1430 BROADWAY RM 1510
Second Line :
City : NEW YORK
State : NY
Zip : 10018-3368
Country : US
Telephone Number : 212-262-2850
Fax Number : 833-608-1002
Authorized Official
Title or Position : OWNER/CLINICAL DIRECTOR
Name : DR. STEPHEN GARY SCHNEIDER
Credential : PHD
Telephone Number : 212-262-2850
Provider Enumeration Date : 11/01/2021
Last Update Date : 11/01/2021

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