Park Ave Psychotherapy
Park Ave Psychotherapy is a Clinical Child & Adolescent Psychologist in Rockaway Park, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
- Specialties on file
- 5
Practice location Address checks out
167 Beach 135th StRockaway Park, NY 11694-1303
Phone: (718) 634-0253
Fax: (718) 634-1056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence R027402 (NY) |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X · Licence R027402 (NY) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence R027402 (NY) |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X · Licence R027402 (NY) |
| Dance Therapist | Taxonomy 225600000X · Licence 05000472 (NY) |
Record details
| NPI number | 1619226966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrea Gitter — Director · (718) 634-0253 |
| NPI enumerated | August 31, 2012 |
| Last updated in NPPES | August 31, 2012 |
| Mailing address | 167 Beach 135th St., Rockaway Park, NY 11694-1303 |