Organization · Type 2 NPI

Ny Ketamine Medical Practice PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · New York, NY

NPI number 1073496402 Active

Practice location

160 Broadway Fl 16
New York, NY 10038-4207

Fax (917) 477-6421

Mailing address

PO Box 32
Woodlawn, TN 37191-0032

Other practice locations

  • 150 Broadhollow Rd Ste 103, Melville, NY 11747-4901 · (917) 261-7370

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

5 other providers at this address

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About NPI 1073496402

Ny Ketamine Medical Practice PLLC's National Provider Identifier is 1073496402, issued on Jul 31, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in New York, NY. The record was last updated on Jun 3, 2026.