Healthcare Provider Details

I. General information

NPI: 1720298862
Provider Name (Legal Business Name): DAVID APPELBAUM PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 W 72ND ST SUITE 1E
NEW YORK NY
10023-2625
US

IV. Provider business mailing address

104 GORDONHURST AVE
MONTCLAIR NJ
07043-1716
US

V. Phone/Fax

Practice location:
  • Phone: 212-875-1015
  • Fax:
Mailing address:
  • Phone: 973-744-3449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number014774
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: