Individual
ELIZABETH ENGELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
156 W 56TH ST STE 1804, NEW YORK, NY 10019-3878
(212) 851-8100
(888) 977-2547
Mailing address
43 BOGART AVE, PORT WASHINGTON, NY 11050-4032
(516) 521-4699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01072224
—
NY
01
—
680015471
RAILROAD MEDICARE
NY
Enumeration date
07/26/2006
Last updated
05/07/2018
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