Healthcare Provider Details

I. General information

NPI: 1104864677
Provider Name (Legal Business Name): PAMELA Z. REINHARD, PH.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 6TH AVE STE.609
NEW YORK NY
10011-8409
US

IV. Provider business mailing address

412 6TH AVE STE.609
NEW YORK NY
10011-8409
US

V. Phone/Fax

Practice location:
  • Phone: 212-979-2599
  • Fax: 212-979-2590
Mailing address:
  • Phone: 212-979-2599
  • Fax: 212-979-2590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number6078
License Number StateNY

VIII. Authorized Official

Name: DR. PAMELA Z. REINHARD
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 212-979-2590