Provider Demographics
NPI:1740443829
Name:BAKHCHI, SHIPHRA (PHD)
Entity type:Individual
Prefix:DR
First Name:SHIPHRA
Middle Name:
Last Name:BAKHCHI
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 1:46 RED BROOK RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1149
Mailing Address - Country:US
Mailing Address - Phone:516-225-3187
Mailing Address - Fax:
Practice Address - Street 1:46 RED BROOK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11024-1149
Practice Address - Country:US
Practice Address - Phone:516-225-3187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist