Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 007244-1 | NY |
NPI | 1073723300 |
---|---|
Provider Name | Dr. David Joel Drassner |
First Address | New City, NY 10956-6011 |
Second Address | New City, NY 10956-6011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |