Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 019299 | NY |
NPI | 1093090524 |
---|---|
Provider Name | Dr. Daniel P Zwillenberg |
First Address | White Plains, NY 10601-2322 |
Second Address | Bronx, NY 10463-1234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2011 |
Last Update Date | 16/10/2011 |