DR. AVA DORFMAN


Address: 200 Park Ave S Ste 1118a, New York, NY 10003-1503
Phone: 3479164936

DR. AVA DORFMAN (NPI# 1609201250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609201250
Entity Type Individual
Full Name DR. AVA DORFMAN
Credential PH.D.
Practice Address 200 Park Ave S Ste 1118a
New York
NY 10003-1503
Mailing Address 304 E 73rd St Apt 1f
New York
NY 10021-4431
Practice Telephone 3479164936
Enumeration Date 2013-09-13
Last Update Date 2018-01-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 020235 NY Behavioral Health & Social Service Providers
N 103T00000X Psychologist 020235 NY Behavioral Health & Social Service Providers

Office Location

Street Address 200 PARK AVE S STE 1118A
City NEW YORK
State NY
Zip Code 10003-1503

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

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1750860144 Linda Cristina Calderon Clinical Neuropsychologist 635 W 165th St Rm 633a, New York, NY 10032-3724 2018-08-07
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1154829000 Alice Brown Brandwein Clinical Neuropsychologist 445 Park Ave Fl 2, New York, NY 10022-8649 2018-01-25
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City NEW YORK
Zip Code 10003

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Dataset Information

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.

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