MEDICARE: NOFAR ARASTEHMANESH PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1013737790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOFAR ARASTEHMANESH PSYD

Provider Business Mailing Address
First Line	:	1469 E 69TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5709
Country	:	US
Telephone Number	:	347-782-5811
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 KING ST STE 7
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3500
Country	:	US
Telephone Number	:	347-560-4628
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	10/16/2024

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