Provider Demographics
NPI:1205652864
Name:WEISSMAN, SAYA NICOLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:SAYA
Middle Name:NICOLE
Last Name:WEISSMAN
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 1:119 UPPER WHITFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ACCORD
Mailing Address - State:NY
Mailing Address - Zip Code:12404-5936
Mailing Address - Country:US
Mailing Address - Phone:917-371-0932
Mailing Address - Fax:
Practice Address - Street 1:119 UPPER WHITFIELD RD
Practice Address - Street 2:
Practice Address - City:ACCORD
Practice Address - State:NY
Practice Address - Zip Code:12404-5936
Practice Address - Country:US
Practice Address - Phone:917-371-0932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-28
Last Update Date:2024-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026923103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical