NPI 1013414705

New York State Neuropsychological State of Mind PC

Organisation Clinical Neuropsychologist Kew Gardens, NY

Practice location

Address: 8460 123rd St, Kew Gardens, NY 11415-3305
Phone: (718) 441-0166
Fax: (718) 805-2054

Authorised official

Name: Sanam Hafeez
Title: PSY.D
Phone: (718) 441-0166

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 016117 (NY)

Other Clinical Neuropsychologist providers in New York →

Registry record

NPI: 1013414705
Entity type: Organization
NPI issued: 9 Apr 2018
Record last updated: 9 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.