Provider Demographics
NPI:1235159872
Name:PINHAS, VALERIE LYNNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:LYNNE
Last Name:PINHAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SUSSEX RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1829
Mailing Address - Country:US
Mailing Address - Phone:516-482-8314
Mailing Address - Fax:
Practice Address - Street 1:10 SUSSEX RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11020-1829
Practice Address - Country:US
Practice Address - Phone:516-482-8314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCASAC 1578101YA0400X
NYLCSW R034069-11041C0700X
NY000033102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN73741Medicare PIN