Provider Demographics
NPI:1417224692
Name:HOLLANDER, SHLOMO (PHD)
Entity Type:Individual
Prefix:
First Name:SHLOMO
Middle Name:
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 CORPORATE WAY
Mailing Address - Street 2:SUITE 2-3466
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-2044
Mailing Address - Country:US
Mailing Address - Phone:845-402-6077
Mailing Address - Fax:
Practice Address - Street 1:616 CORPORATE WAY
Practice Address - Street 2:SUITE 2-3466
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-2044
Practice Address - Country:US
Practice Address - Phone:845-402-6077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2013-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015084103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist