Provider Demographics
NPI:1740307198
Name:ADLER, EDYTHE BRENDA (PSYD)
Entity type:Individual
Prefix:DR
First Name:EDYTHE
Middle Name:BRENDA
Last Name:ADLER
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 1:195 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1820
Mailing Address - Country:US
Mailing Address - Phone:914-400-6873
Mailing Address - Fax:914-725-8121
Practice Address - Street 1:260 GARTH RD STE 2H5
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4017
Practice Address - Country:US
Practice Address - Phone:914-400-6873
Practice Address - Fax:914-725-8121
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009976103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051127OtherVALUE OPTIONS
NY6800164OtherGHI-BMP
NYSO-9976-2OtherWORKERS' COMPENSATION