Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 017091 | NY |
NPI | 1194908509 |
---|---|
Provider Name | Shireen Leila Rizvi |
First Address | New York, NY 10022-2707 |
Second Address | New York, NY 10022-2707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2007 |
Last Update Date | 07/12/2007 |