Provider Demographics
NPI:1437219912
Name:PESSIN, HAYLEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:
Last Name:PESSIN
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 1:425 E 86TH ST
Mailing Address - Street 2:#15A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6449
Mailing Address - Country:US
Mailing Address - Phone:917-699-9297
Mailing Address - Fax:
Practice Address - Street 1:164 W 80TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6301
Practice Address - Country:US
Practice Address - Phone:917-699-9297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15407103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical