Healthcare Provider Details
I. General information
NPI: 1083191704
Provider Name (Legal Business Name): DALIA OVDAT MAY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/25/2018
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27 BISHOP LN
BRIARCLIFF MANOR NY
10510-1301
US
IV. Provider business mailing address
27 BISHOP LN
BRIARCLIFF MANOR NY
10510-1301
US
V. Phone/Fax
- Phone: 914-282-0339
- Fax:
- Phone: 914-282-0339
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: