Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 008252 | NY |
Y | 103T00000X | Psychologist | 008252 | NY |
NPI | 1003488404 |
---|---|
Provider Name | Robin Mendelsohn |
First Address | Roslyn, NY 11576-2326 |
Second Address | Roslyn, NY 11576-2326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2021 |
Last Update Date | 14/07/2021 |