Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 68 018411 | NY |
NPI | 1114211638 |
---|---|
Provider Name | Dr. Roberta Diane Steinberg |
First Address | Nyack, NY 10960-2919 |
Second Address | Nanuet, NY 10954-2886 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2011 |
Last Update Date | 02/06/2011 |