MEDICARE: HOWARD STROLL PH.D

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	007661-1	NY

General Provider Information

NPI Number	:	1205955341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD STROLL PH.D

Provider Business Mailing Address
First Line	:	547 SAW MILL RIVER RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-2143
Country	:	US
Telephone Number	:	914-693-3378
Fax Number	:

Provider Business Practice Location Address
First Line	:	547 SAW MILL RIVER RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-2143
Country	:	US
Telephone Number	:	914-693-3378
Fax Number	:

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/16/2007

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Directions to “ HOWARD STROLL PH.D” Practice Location

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