Provider Demographics
NPI:1740637362
Name:CUKIER, YAEL (PHD)
Entity type:Individual
Prefix:DR
First Name:YAEL
Middle Name:
Last Name:CUKIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:611 NORTHERN BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5207
Mailing Address - Country:US
Mailing Address - Phone:516-325-7062
Mailing Address - Fax:516-325-7004
Practice Address - Street 1:611 NORTHERN BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5207
Practice Address - Country:US
Practice Address - Phone:516-325-7062
Practice Address - Fax:516-325-7004
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY021586103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist