Healthcare Provider Details

I. General information

NPI: 1326376153
Provider Name (Legal Business Name): DOV A. SNOW PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 ELM ST
WEST HEMPSTEAD NY
11552-3222
US

IV. Provider business mailing address

217 ELM ST
WEST HEMPSTEAD NY
11552-3222
US

V. Phone/Fax

Practice location:
  • Phone: 516-507-0134
  • Fax: 347-695-9701
Mailing address:
  • Phone: 516-507-0134
  • Fax: 347-695-9701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number025164
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number025164
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number025164
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: