Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 023842 | NY |
Y | 103T00000X | Psychologist | 023842 | NY |
NPI | 1013529080 |
---|---|
Provider Name | Netta Admoni |
First Address | Wappingers Falls, NY 12590-5746 |
Second Address | New Windsor, NY 12553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2020 |
Last Update Date | 20/08/2020 |