Provider Demographics
NPI:1629033311
Name:AARONSON, AMY P (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:P
Last Name:AARONSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:PREISLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 ANNADALE ST
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-1402
Mailing Address - Country:US
Mailing Address - Phone:914-273-2165
Mailing Address - Fax:914-273-2165
Practice Address - Street 1:933 MAMARONECK AVE.
Practice Address - Street 2:SUITE 202
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543
Practice Address - Country:US
Practice Address - Phone:914-450-4080
Practice Address - Fax:914-273-2165
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0147301103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMP2630686OtherOXFORD PROVIDER ID