Provider Demographics
NPI:1326802455
Name:DR INZINNA PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:DR INZINNA PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:INZINNA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:914-309-7058
Mailing Address - Street 1:183 DRAKE AVE APT 1A
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1751
Mailing Address - Country:US
Mailing Address - Phone:914-309-7058
Mailing Address - Fax:
Practice Address - Street 1:183 DRAKE AVE APT 1A
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-1751
Practice Address - Country:US
Practice Address - Phone:914-309-7058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty