Healthcare Provider Details

I. General information

NPI: 1962821835
Provider Name (Legal Business Name): DR. JO-ANNA POSNER PSYCHOLOGIST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 04/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 SUNRISE HWY
LYNBROOK NY
11563-3027
US

IV. Provider business mailing address

365 SUNRISE HWY
LYNBROOK NY
11563-3027
US

V. Phone/Fax

Practice location:
  • Phone: 516-872-1600
  • Fax: 516-872-8664
Mailing address:
  • Phone: 516-872-1600
  • Fax: 516-872-8664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8266-1
License Number StateNY

VIII. Authorized Official

Name: DR. JO-ANNA POSNER
Title or Position: PRESIDENT
Credential: PHD
Phone: 516-872-1600