1326416199 NPI number — NEW LIFE PSYCHIATRY COUNSELING SERVICE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326416199 NPI number — NEW LIFE PSYCHIATRY COUNSELING SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW LIFE PSYCHIATRY COUNSELING SERVICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326416199
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7127 FRESH POND RD
Provider Second Line Business Mailing Address:
FIRST FLOOR RIGHT
Provider Business Mailing Address City Name:
RIDGEWOOD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11385-5918
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-381-2829
Provider Business Mailing Address Fax Number:
718-381-2819

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7127 FRESH POND RD
Provider Second Line Business Practice Location Address:
FIRST FLOOR RIGHT
Provider Business Practice Location Address City Name:
RIDGEWOOD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11385-5918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-381-2829
Provider Business Practice Location Address Fax Number:
718-381-2819
Provider Enumeration Date:
09/09/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SHAIKH
Authorized Official First Name:
IMRAN
Authorized Official Middle Name:
AZIZ
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
917-403-6271

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  264908 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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