Healthcare Provider Details

I. General information

NPI: 1245141092
Provider Name (Legal Business Name): YI DING PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 W 60TH ST GSE, FORDHAM UNIVERSITY, ROOM 1008
NEW YORK NY
10023-7484
US

IV. Provider business mailing address

113 W 60TH ST GSE, FORDHAM UNIVERSITY, ROOM 1008
NEW YORK NY
10023-7484
US

V. Phone/Fax

Practice location:
  • Phone: 212-636-6743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number024200-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: