Healthcare Provider Details

I. General information

NPI: 1649580028
Provider Name (Legal Business Name): ALLEGHENY FORENSIC ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 10/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N WHITFIELD ST MEDICAL CENTER EAST, SUITE 500
PITTSBURGH PA
15206-3039
US

IV. Provider business mailing address

211 N WHITFIELD ST MEDICAL CENTER EAST, SUITE 500
PITTSBURGH PA
15206-3039
US

V. Phone/Fax

Practice location:
  • Phone: 412-361-1575
  • Fax: 412-361-7156
Mailing address:
  • Phone: 412-361-1575
  • Fax: 412-361-7156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: NEIL DAVID ROSENBLUM
Title or Position: ADMINISTRATIVE PARTNER
Credential: PH.D.
Phone: 412-621-3335