Provider Demographics
NPI:1104864677
Name:PAMELA Z. REINHARD, PH.D., P.C.
Entity Type:Organization
Organization Name:PAMELA Z. REINHARD, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:REINHARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-979-2590
Mailing Address - Street 1:412 6TH AVE
Mailing Address - Street 2:STE.609
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8409
Mailing Address - Country:US
Mailing Address - Phone:212-979-2599
Mailing Address - Fax:212-979-2590
Practice Address - Street 1:412 6TH AVE
Practice Address - Street 2:STE.609
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8409
Practice Address - Country:US
Practice Address - Phone:212-979-2599
Practice Address - Fax:212-979-2590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6078261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV59041Medicare ID - Type Unspecified