Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 008788 | NY |
N | 103T00000X | Psychologist | 008788 | NY |
N | 103TA0700X | Adult Development & Aging Psychologist | 008788 | NY |
N | 103G00000X | Clinical Psychologist | 008788 | NY |
N | 103TC0700X | Clinical Psychologist | 008788 | NY |
NPI | 1346376514 |
---|---|
Provider Name | Jay Lawrence Schlesinger |
First Address | White Plains, NY 10605-1750 |
Second Address | White Plains, NY 10605-1750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2007 |
Last Update Date | 08/07/2007 |