Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 004184 | NY |
Y | 103T00000X | Psychologist | 004184 | NY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TF0000X | Family Psychologist | ||
N | 103TP2701X | Group Psychotherapist | ||
N | 103TS0200X | School Psychologist | 004184 | NY |
NPI | 1144336868 |
---|---|
Provider Name | Dr. Elaine Dinitz |
First Address | Manhasset, NY 11030-4030 |
Second Address | Roslyn Heights, NY 11577-2056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0087218 | GHI (01) | NY |
100520 | VALUE OPTIONS (01) | NY |
AA00310 | MDNY (01) | NY |
M14060 | (05) | NY |
R51350 | (02) | NY |