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NPI Code Detail

MEDICARE: DR. ELIZABETH KNOWLES KRIMENDAHL PSYD

MEDICARE: DR. ELIZABETH KNOWLES KRIMENDAHL 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
1103TP0814XPsychoanalysis Psychologist011680-1NY

General Provider Information

NPI Number : 1366509531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH KNOWLES KRIMENDAHL PSYD
Provider Business Mailing Address
First Line : 201 E 87TH ST APT 29H
Second Line :
City : NEW YORK
State : NY
Zip : 10128-3208
Country : US
Telephone Number : 212-369-2819
Fax Number :
Provider Business Practice Location Address
First Line : 201 E 87TH ST APT 29H
Second Line :
City : NEW YORK
State : NY
Zip : 10128-3208
Country : US
Telephone Number : 212-369-2819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 07/08/2007

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