Provider Demographics
NPI:1457011553
Name:SARNA, MICHELLE WALDMAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:WALDMAN
Last Name:SARNA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 3RD AVE APT 210
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3754
Mailing Address - Country:US
Mailing Address - Phone:516-316-3866
Mailing Address - Fax:
Practice Address - Street 1:310 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3754
Practice Address - Country:US
Practice Address - Phone:516-316-3866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023186103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist