Provider Demographics
NPI:1508198086
Name:MUSKAT, YAEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:YAEL
Middle Name:
Last Name:MUSKAT
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 1:273 WAUKENA AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-4335
Mailing Address - Country:US
Mailing Address - Phone:516-594-0583
Mailing Address - Fax:917-326-4967
Practice Address - Street 1:273 WAUKENA AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-4335
Practice Address - Country:US
Practice Address - Phone:646-457-0606
Practice Address - Fax:917-326-4967
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68-014762103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist