NPI 1023026754

Mansour (max) Banilivy, PHD

Practitioner Clinical Psychologist Merrick, NY

Practice location

Address: 2615 Merrick Ave, Merrick, NY 11566-4622
Phone: (516) 627-9432
Fax: (516) 867-0013

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 007526 (NY)

Other Psychologist providers in New York →

Registry record

NPI: 1023026754
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2006
Record last updated: 8 Jul 2007

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.