Basic Information
Provider Information
NPI: 1134204597
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRIGGS
FirstName: RAHIL
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: PSYD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 224 E 13TH ST
Address2: #17
City: NEW YORK
State: NY
PostalCode: 100035605
CountryCode: US
TelephoneNumber: 7184058040
FaxNumber: 7184058091
Practice Location
Address1: COMPREHENSIVE FAMILY CARE CTR.
Address2: 1621 EASTCHESTER ROAD
City: BRONX
State: NY
PostalCode: 10461
CountryCode: US
TelephoneNumber: 7184058040
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/26/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X016530NYY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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