Organization Name: | Y MEDICAL GROUP, LLC |
NPI Number: | 1881062420 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARSHALL GEISSER (CEO) |
Mailing Address: | 915 Middle River Dr Suite 114 Fort Lauderdale |
State: | FL US |
Postal Code: | 333043544 |
Phone Number: | 9543680888 |
Fax Number: | 9542122227 |
NPI Enumeration Date: | 09/14/2015 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |