DR. JACQUELINE SARAH RISEMAN


Address: 122 Sterling Rd, Harrison, NY 10528-1134
Phone: 9149676531

DR. JACQUELINE SARAH RISEMAN (NPI# 1982769352) 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) 1982769352
Entity Type Individual
Full Name DR. JACQUELINE SARAH RISEMAN
Other Name DR. JACQUELINE SARAH RISEMAN-DETSKY
Credential PH.D.
Practice Address 122 Sterling Rd
Harrison
NY 10528-1134
Practice Telephone 9149676531
Practice Fax Number 9149676531
Mailing Telephone 9149676531
Mailing Fax Number 9149676531
Enumeration Date 2006-12-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
004282 NY Behavioral Health & Social Service Providers

Office Location

Street Address 122 STERLING RD
City HARRISON
State NY
Zip Code 10528-1134

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City HARRISON
Zip Code 10528

Improve Information

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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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