Provider Demographics
NPI:1750723219
Name:MANHATTAN COGNITIVE-BEHAVIORAL THERAPY/PSYCHOLOGY, PLLC
Entity type:Organization
Organization Name:MANHATTAN COGNITIVE-BEHAVIORAL THERAPY/PSYCHOLOGY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:646-863-4225
Mailing Address - Street 1:276 5TH AVE
Mailing Address - Street 2:STE #905
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4509
Mailing Address - Country:US
Mailing Address - Phone:917-693-6186
Mailing Address - Fax:347-694-8199
Practice Address - Street 1:276 5TH AVE
Practice Address - Street 2:STE #905
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4509
Practice Address - Country:US
Practice Address - Phone:917-693-6186
Practice Address - Fax:347-694-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016452103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty