Provider Demographics
NPI:1760534481
Name:HOLLANDER PSYCHOLOGICAL CONSULTING PC
Entity Type:Organization
Organization Name:HOLLANDER PSYCHOLOGICAL CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOLLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-761-2933
Mailing Address - Street 1:23 OLD MAMARONECK RD
Mailing Address - Street 2:SUITE 2 HOLLANDER PSYCHOLOGICAL CONSULTING PC
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2061
Mailing Address - Country:US
Mailing Address - Phone:914-761-2933
Mailing Address - Fax:914-761-3034
Practice Address - Street 1:23 OLD MAMARONECK RD
Practice Address - Street 2:SUITE #2 HOLLANDER PSYCHOLOGICAL CONSULTING PC
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2061
Practice Address - Country:US
Practice Address - Phone:914-761-2933
Practice Address - Fax:914-761-3034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01447007Medicaid
NYV0W221Medicare PIN