Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 009496 | NY |
NPI | 1003017237 |
---|---|
Provider Name | Dr. Steven Barbash |
First Address | Hartsdale, NY 10530-2921 |
Second Address | Bronx, NY 10463-4801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01734156 | (05) | NY |