Organization
RIVERDALE PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMAR BLANK PSYD (PRESIDENT)
(347) 766-5771
Entity
Organization
Contact information
Practice address
3736 HENRY HUDSON PKWY STE 204, BRONX, NY 10463-1514
(347) 766-5771
Mailing address
3736 HENRY HUDSON PKWY STE 204, BRONX, NY 10463-1514
(347) 766-5771
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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