Provider Demographics
NPI:1952325854
Name:BANK, RONA (EDD,ABPP)
Entity Type:Individual
Prefix:DR
First Name:RONA
Middle Name:
Last Name:BANK
Suffix:
Gender:F
Credentials:EDD,ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 32ND ST
Mailing Address - Street 2:APT 6C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6306
Mailing Address - Country:US
Mailing Address - Phone:212-725-1123
Mailing Address - Fax:718-796-7211
Practice Address - Street 1:200 E 32ND ST
Practice Address - Street 2:APT 6C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6306
Practice Address - Country:US
Practice Address - Phone:212-725-1123
Practice Address - Fax:718-796-7211
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003958-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV24571Medicare ID - Type UnspecifiedPSYCHOLOGIST