Individual
DR. NADINE REVHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17 SQUADRON BLVD, SUITE 318, NEW CITY, NY 10956-5214
(845) 353-3986
Mailing address
PO BOX 294, NYACK, NY 10960-0294
(845) 358-6410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014884-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002353284002
UBH
NY
01
—
2140114
CIGNA
NY
01
—
289774
MHN
NY
01
—
487209
VALUE OPTIONS MHS
NY
01
—
P2818996
OXFORD
NY
Enumeration date
11/07/2006
Last updated
07/08/2007
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