Healthcare Provider Details

I. General information

NPI: 1225726607
Provider Name (Legal Business Name): URIEL KRAKAUER PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 W PROSPECT AVE STE 3D
MOUNT VERNON NY
10550-2017
US

IV. Provider business mailing address

11 W PROSPECT AVE STE 3D
MOUNT VERNON NY
10550-2017
US

V. Phone/Fax

Practice location:
  • Phone: 914-338-8734
  • Fax:
Mailing address:
  • Phone: 914-338-8734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: URIEL KRAKAUER
Title or Position: OWNER
Credential: PSYD
Phone: 917-200-4528