Individual
DR. EVAN R PODOLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1600 HARRISON AVE, SUITE 307B, MAMARONECK, NY 10543-3145
(914) 835-3910
Mailing address
75 FENIMORE DR, HARRISON, NY 10528-1413
(914) 714-3108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018395-1
NY
Other
Enumeration date
01/06/2010
Last updated
05/06/2010
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