Provider Demographics
NPI:1013675750
Name:HABINSKY, ELISSA JACOBS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELISSA
Middle Name:JACOBS
Last Name:HABINSKY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PALMER PL
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2326
Mailing Address - Country:US
Mailing Address - Phone:516-318-8773
Mailing Address - Fax:
Practice Address - Street 1:36 SMITH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2800
Practice Address - Country:US
Practice Address - Phone:914-266-2601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024645103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist