Individual
DR. JOSHUA GREGORY SHIFRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
26 LINDEN AVE, NEUROPSYCHOLOGICAL TESTING CENTER, SPRINGFIELD, NJ 07081-1834
(860) 966-0309
Mailing address
52 HOLIDAY DR, WEST CALDWELL, NJ 07006-7417
(860) 966-0309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID PROVIDER ID
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
WEV061
AGENCY MEDICARE ID #
NY
Enumeration date
07/30/2009
Last updated
07/25/2016
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