Organization
DR. ORENBAKH, PSYCHOLOGIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRIGORY ORENBAKH PH. D. (OWNER)
(516) 812-9353
Entity
Organization
Contact information
Practice address
853 TALBOT AVE, VALLEY STREAM, NY 11581-3111
(516) 812-9353
Mailing address
853 TALBOT AVE, VALLEY STREAM, NY 11581-3111
(516) 812-9353
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02204608
—
NY
01
—
08342G
GHI MEDICARE
NY
01
—
P2664536
OXFORD
NY
Enumeration date
10/01/2007
Last updated
05/02/2008
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