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NPI Code Detail

MEDICARE: DR. RHEA DORNBUSH PHD

MEDICARE: DR. RHEA DORNBUSH PHD
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
1103G00000XClinical Neuropsychologist004185NY

General Provider Information

NPI Number : 1346287679
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RHEA DORNBUSH PHD
Provider Business Mailing Address
First Line : 40 SUNSHINE COTTAGE ROAD
Second Line : NYMC - PSYCHIATRY
City : VALHALLA
State : NY
Zip : 10595
Country : US
Telephone Number : 914-493-1898
Fax Number : 914-493-1015
Provider Business Practice Location Address
First Line : 100 WOODS ROAD
Second Line : TAYLOR PAVILION NORTH
City : VALHALLA
State : NY
Zip : 10595-1530
Country : US
Telephone Number : 914-493-1898
Fax Number : 914-493-1015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 05/20/2019

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