Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 5887 | NY |
Y | 103T00000X | Psychologist | 5887 | NY |
NPI | 1013931948 |
---|---|
Provider Name | Dr. Barry Binder |
First Address | Granite Springs, NY 10527-1017 |
Second Address | Granite Springs, NY 10527-1017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |