Provider Demographics
NPI:1104180744
Name:HERB BILICK, PH.D.
Entity Type:Organization
Organization Name:HERB BILICK, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HERB
Authorized Official - Middle Name:
Authorized Official - Last Name:BILICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-595-3643
Mailing Address - Street 1:303 W ENGLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2851
Mailing Address - Country:US
Mailing Address - Phone:212-595-3643
Mailing Address - Fax:201-833-1675
Practice Address - Street 1:1 W 85TH ST
Practice Address - Street 2:STE. 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4134
Practice Address - Country:US
Practice Address - Phone:212-595-3643
Practice Address - Fax:201-833-1675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty