NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1548208226 |   |   |   | EAST SIDE PSYCHIATRIC SERVICES, PC | 416 E 76TH ST | NEW YORK | NY | 100213104 |
1891711172 | HERIVAUX | JAMES |   |   | 416 E 76TH ST | NEW YORK | NY | 100213104 |
1295860682 | MALLIOS | THOMAS |   |   | 416 E 76TH ST | NEW YORK | NY | 100213104 |
1477594323 | PINA | RALPH | JULIO |   | 416 E 76TH ST | NEW YORK | NY | 100213104 |
1528217379 | TAM | FLORENCE |   |   | 416 E 76TH ST | NEW YORK | NY | 100213104 |