Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 015798 | NY |
N | 103T00000X | Psychologist | 015798 | NY |
Y | 103G00000X | Clinical Psychologist | 015798 | NY |
Y | 103TC0700X | Clinical Psychologist | 015798 | NY |
N | 103TP2701X | Group Psychotherapist | 015798 | NY |
NPI | 1003867490 |
---|---|
Provider Name | Dr. David Andrew Parker |
First Address | New York, NY 10003-3019 |
Second Address | New York, NY 10003-3019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 20/07/2016 |