Provider Demographics
NPI:1508188327
Name:ANTMAN, STEVEN R (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:ANTMAN
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 1:39 BARFORD LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3313
Mailing Address - Country:US
Mailing Address - Phone:914-472-1965
Mailing Address - Fax:
Practice Address - Street 1:39 BARFORD LN
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3313
Practice Address - Country:US
Practice Address - Phone:914-472-1965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-20
Last Update Date:2010-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009819-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist