Provider Demographics
NPI:1770653875
Name:PINSKER, RICHARD B (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:PINSKER
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 1:24 GORDON AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1529
Mailing Address - Country:US
Mailing Address - Phone:914-762-0384
Mailing Address - Fax:914-432-5019
Practice Address - Street 1:24 GORDON AVENUE
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1529
Practice Address - Country:US
Practice Address - Phone:914-762-0384
Practice Address - Fax:914-432-5019
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5432103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0048303OtherGHI
5127427OtherAETNA
5127427OtherAETNA