is a Child & Adolescent Psychiatry in Watertown, New York. practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for is 1205093242. The last update date is .
's current location address is 24670 Gotham Street Rd, Watertown, New York. You can contact this provider via phone number 3033857368. The mailing address for is 24670 Gotham Street Rd, Watertown, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 24670 Gotham Street Rd, Watertown, New York |
Phone Number | 3033857368 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1205093242 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 24670 Gotham Street Rd |
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City | Watertown |
State | New York (NY) |
Post Code | 136014290 |
Phone Number | 3033857368 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Child & Adolescent Psychiatry |
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Taxonomy | 2084P0804X |
Licence No | 46758 |
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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50385755 | CO | -- |
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