Provider Demographics
NPI:1720092919
Name:HANDELMAN, ROBERT K (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:HANDELMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 UNION SQ W
Mailing Address - Street 2:SUITE 736
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3236
Mailing Address - Country:US
Mailing Address - Phone:646-232-0013
Mailing Address - Fax:212-675-9599
Practice Address - Street 1:41 UNION SQ W
Practice Address - Street 2:SUITE 736
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3236
Practice Address - Country:US
Practice Address - Phone:646-232-0013
Practice Address - Fax:212-675-9599
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014197103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical