Provider Demographics
NPI:1124385984
Name:FIEDLER, INA LESLEY (PSYD, YESHIVA UNIV)
Entity Type:Individual
Prefix:DR
First Name:INA
Middle Name:LESLEY
Last Name:FIEDLER
Suffix:
Gender:F
Credentials:PSYD, YESHIVA UNIV
Other - Prefix:MISS
Other - First Name:INA
Other - Middle Name:LESLEY
Other - Last Name:STERNBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD (DOCTOR OF PS
Mailing Address - Street 1:30 MANHATTAN AVENUE
Mailing Address - Street 2:LOIS BRONZ CHILDREN'S CENTER
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607
Mailing Address - Country:US
Mailing Address - Phone:914-761-6134
Mailing Address - Fax:
Practice Address - Street 1:30 MANHATTAN AVENUE
Practice Address - Street 2:LOIS BRONZ CHILDREN'S CENTER
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607
Practice Address - Country:US
Practice Address - Phone:914-761-6134
Practice Address - Fax:914-761-5461
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYS#011954103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool