Individual
ROTEM DAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 N BROADWAY, YONKERS, NY 10701-1108
(914) 965-3700
(914) 965-3883
Mailing address
1156 N BROADWAY, YONKERS, NY 10701-1108
(914) 965-3700
(914) 965-3883
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
WVE061
AGENCY MEDICARE #
NY
Enumeration date
09/08/2011
Last updated
09/08/2011
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