Provider Demographics
NPI:1558486852
Name:LINDNER, MICHAEL ARTHUR (PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ARTHUR
Last Name:LINDNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 IVY WAY
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3801
Mailing Address - Country:US
Mailing Address - Phone:516-883-5463
Mailing Address - Fax:
Practice Address - Street 1:21 IVY WAY
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3801
Practice Address - Country:US
Practice Address - Phone:516-883-5463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6353103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical