Organization
JOSEPHINE S. MINARDO, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPHINE S MINARDO PSY.D. (OWNER)
(914) 831-7969
Entity
Organization
Contact information
Practice address
171 E POST RD, SUITE #310, WHITE PLAINS, NY 10601-4965
(914) 831-7969
Mailing address
171 E POST RD, SUITE #310, WHITE PLAINS, NY 10601-4965
(914) 831-7969
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300091095
MEDICARE PTAN
NY
Enumeration date
08/14/2015
Last updated
08/14/2015
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