Provider Demographics
NPI:1407204753
Name:BELINKIE, YAEL LEVIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:YAEL
Middle Name:LEVIN
Last Name:BELINKIE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:YAEL
Other - Middle Name:
Other - Last Name:LEVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2058 JEROME AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-1817
Mailing Address - Country:US
Mailing Address - Phone:917-564-8780
Mailing Address - Fax:917-564-8777
Practice Address - Street 1:2058 JEROME AVE FL 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-1817
Practice Address - Country:US
Practice Address - Phone:917-564-8780
Practice Address - Fax:917-564-8777
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021622103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical