Individual
DR. ADY BEN-ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
44 COURT ST STE 800, BROOKLYN, NY 11201-4414
(347) 788-1636
Mailing address
44 COURT ST STE 800, BROOKLYN, NY 11201-4414
(347) 788-1636
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02449154
MEDICAD #
—
01
—
1285628552
AGENCY
NY
01
—
WVE061
MEDICARE #
NY
Enumeration date
05/02/2009
Last updated
11/22/2017
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