Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 0101141 | NY |
NPI | 1134439649 |
---|---|
Provider Name | Dr. Steve Yarris |
First Address | New York, NY 10019-3411 |
Second Address | New York, NY 10019-3411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2010 |
Last Update Date | 19/09/2013 |