DR. LILA AGNES COLEBURN (NPI# 1104265164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104265164 |
| Entity Type | Individual |
| Full Name | DR. LILA AGNES COLEBURN |
| Credential | PHD |
| Practice Address |
98 Riverside Dr #1c New York NY 10024-5323 |
| Mailing Address |
395 Riverside Dr #3c New York NY 10025-1859 |
| Practice Telephone | 2125802547 |
| Mailing Telephone | 2125802547 |
| Mailing Fax Number | 2125311431 |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2013-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
08542 | NY | Behavioral Health & Social Service Providers |
| Street Address |
98 RIVERSIDE DR #1C |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952696 | Gerald A Hecker | Ophthalmology | 98 Riverside Dr, New York, NY 10024-5323 | 2005-09-15 |
| 1619401999 | Debora M. Worth | Social Worker | 98 Riverside Dr, Suite 1b, New York, NY 10024-5323 | 2017-04-13 |
| 1477090561 | Kathryn Speyer | Nurse Practitioner | 98 Riverside Dr, New York, NY 10024-5323 | 2017-01-26 |
| 1093004053 | Dorothy Yang Lcsw P.C. | Social Worker | 98 Riverside Dr, Suite 1b, New York, NY 10024-5323 | 2011-03-30 |
| 1598054553 | Dorothy Yang | Social Worker | 98 Riverside Dr, Suite 1b, New York, NY 10024-5323 | 2011-03-30 |
| 1710128913 | Eve Gordon | Psychologist | 98 Riverside Dr, 1b, New York, NY 10024-5323 | 2009-03-18 |
| 1427299619 | Wanda Quintana | Social Worker | 98 Riverside Dr, Suite 1a, New York, NY 10024-5323 | 2009-03-17 |
| 1346489853 | Patricia Tenerella-brody | Social Worker | 98 Riverside Dr, Suite 1c, New York, NY 10024-5323 | 2009-02-08 |
| 1578748596 | Susan P Haven | Social Worker | 98 Riverside Dr, Suite 1a, New York, NY 10024-5323 | 2008-01-09 |
| 1578773727 | Pamela M Rosenblum | Psychoanalyst | 98 Riverside Dr, #5h, New York, NY 10024-5323 | 2007-05-23 |
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|---|---|---|---|---|
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| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1407408453 | Barbara Bessin Zucker | Social Worker | 565 West End Ave. - Suite 1a, New York, NY 10024 | 2019-07-10 |
| 1609337815 | Pratistha Maharjan | Physical Therapist | 86th Street, 2w #1, Manhattan, NY 10024 | 2019-03-29 |
| 1396215968 | Sara Kahn | Nutritionist | 267 W. 89th Street Apt 5a, New York, NY 10024 | 2018-11-27 |
| 1205311586 | Matthew Ludwig Spieler | Psychologist | 255 W 88th St Apt 9e, New York, NY 10024 | 2018-10-02 |
| 1629576475 | Christopher Eldredge | Social Worker | 52 Riverside Drive, Suite 1a, New York, NY 10024 | 2018-01-26 |
| 1154850717 | Anthony William Zoghbi Md | Psychiatry & Neurology | 140 West 79th Street, Suite 1f-2, New York, NY 10024 | 2017-06-07 |
| 1821526955 | Noel Bohl-fabian | Social Worker | 140 W 79th St Apt 2b, New York, NY 10024 | 2017-06-02 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.