Individual
DR. ELAINE DINITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
142 MINEOLA AVE, ROSLYN HEIGHTS, NY 11577-2056
(516) 621-0618
(516) 625-6226
Mailing address
79 EIDER HILL CT, MANHASSET, NY 11030-4030
(516) 625-1057
(516) 625-6226
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004184
NY
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TS0200X
School Psychologist
004184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087218
GHI
NY
01
—
100520
VALUE OPTIONS
NY
01
—
AA00310
MDNY
NY
05
—
M14060
—
NY
Enumeration date
08/23/2006
Last updated
07/16/2007
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