Provider Demographics
NPI:1851455166
Name:MEONES, SARINA (LP, PSYA)
Entity Type:Individual
Prefix:
First Name:SARINA
Middle Name:
Last Name:MEONES
Suffix:
Gender:F
Credentials:LP, PSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CLINTON ST
Mailing Address - Street 2:SUITE #10A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2749
Mailing Address - Country:US
Mailing Address - Phone:212-924-8412
Mailing Address - Fax:718-852-3792
Practice Address - Street 1:237 W 37TH ST
Practice Address - Street 2:SUITE #201
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-5704
Practice Address - Country:US
Practice Address - Phone:212-924-8412
Practice Address - Fax:718-852-3792
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000123102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst