Provider Demographics
NPI:1013737790
Name:ARASTEHMANESH, NOFAR (PSYD)
Entity type:Individual
Prefix:
First Name:NOFAR
Middle Name:
Last Name:ARASTEHMANESH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:NOFAR
Other - Middle Name:
Other - Last Name:GLISKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:1469 E 69TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5709
Mailing Address - Country:US
Mailing Address - Phone:347-782-5811
Mailing Address - Fax:
Practice Address - Street 1:400 KING ST STE 7
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3500
Practice Address - Country:US
Practice Address - Phone:347-560-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist