Provider Demographics
NPI:1831388438
Name:NAGY, JAMES DANIEL
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DANIEL
Last Name:NAGY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 POPHAM RD
Mailing Address - Street 2:SUITE D FIRST FLOOR
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4252
Mailing Address - Country:US
Mailing Address - Phone:914-472-2066
Mailing Address - Fax:
Practice Address - Street 1:45 POPHAM RD
Practice Address - Street 2:SUITE D FIRST FLOOR
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4252
Practice Address - Country:US
Practice Address - Phone:914-472-2066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015191103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVM0951Medicare PIN