Provider Demographics
NPI:1811623812
Name:PINCHOT, ADIR (PHD)
Entity type:Individual
Prefix:DR
First Name:ADIR
Middle Name:
Last Name:PINCHOT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 BROAD ST STE 212
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-2205
Mailing Address - Country:US
Mailing Address - Phone:646-504-1824
Mailing Address - Fax:
Practice Address - Street 1:90 BROAD ST STE 212
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-2205
Practice Address - Country:US
Practice Address - Phone:646-504-1824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP116698103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty