MEDICARE: NEIGHBORHOOD PSYCHIATRIC ASSOCIATES OF MANHATTAN 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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1588427827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD PSYCHIATRIC ASSOCIATES OF MANHATTAN PLLC

Provider Business Mailing Address
First Line	:	39 W 14TH ST STE 406
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7404
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3207 30TH AVE STE 201
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-1563
Country	:	US
Telephone Number	:	929-777-0173
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	CARLO DELLA RAGIONE
Credential	:
Telephone Number	:	929-777-0173

Provider Enumeration Date	:	01/31/2024
Last Update Date	:	01/31/2024

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