person
Ms. Bethany Novak, FNP
Adolescent and Children Mental Health Clinic/Center in New York, New York
NPI 1093736696

Bethany Novak is an Adolescent and Children Mental Health Clinic/Center based in New York, NY and is specialized in Adolescent and Children Mental Health. Bethany Novak practices in New York, NY and has the professional credentials of FNP. The NPI Number for Bethany Novak is 1093736696 and holds a License No. 330008-1 (New York).

The current practice location address for Bethany Novak is 312 E 94Th St, New York, NY and can be reached out via phone at 212-423-2900 and via fax at 212-423-2920. You can also correspond with Bethany Novak through the mailing address at 312 E 94TH ST, NEW YORK, NY - 10128-5604 (mailing address contact number: 212-423-2900).

Location: 312 E 94Th St, New York, NY, 10128-5604
person
Provider Profile Details
NPI Number
1093736696
Provider Name
Bethany Novak
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
312 E 94Th St, New York, NY, 10128-5604
Phone Number
212-423-2900
Fax Number
212-423-2920
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11350513 01 NY CAQH
institution
Provider Business Practice Location Address Details
Address
312 E 94Th St
City
State
Zip
10128-5604
Phone Number
212-423-2900
Fax Number
212-423-2920
person
Provider Business Mailing Address Details
Address
312 E 94Th St
City
State
Zip
10128-5604
Phone Number
212-423-2900
Fax Number
212-423-2920
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
330008-1 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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