OrganizationActive
Medical Practice Ny PC
NPI 1437494648 · Group Psychotherapy Psychologist · Fresh Meadows, NY
Provider details
- NPI number
- 1437494648
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Yelena Mamedova Braz, MD(718) 755-0656
- License
- 185185 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6923 168th St
Fresh Meadows, NY 11365-3213
Phone: (718) 755-0656
Approximate (ZIP-level) locationGet directions
Mailing address
95-20 63 Rd Road Suite H
Rego Park, NY 11374
Registry dates
- Enumerated
- 2012-11-29
- Last updated
- 2012-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.