Doctor Name: | DR. MANZOOR MUSTAFA USMAN |
NPI Number: | 1346361714 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101246243 |
Business Practice Address: | 29 Russell St New Britain, CT - 060521312 |
Business Phone Number: | 8608264985 |
Business Fax Number: | |
Mailing Address: | 77 Judy Ln, STAMFORD |
State: | CT |
Postal Code: | 069062102 |
Phone Number: | 2032496355 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 0101246243 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |