MEDICARE: DR. SYLVANA MARIA RINALDI 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
1	103T00000X	Psychologist	012599	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538225479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVANA MARIA RINALDI PHD

Provider Business Mailing Address
First Line	:	209 WASHINGTON AVE
Second Line	:
City	:	RUTHERFORD
State	:	NJ
Zip	:	07070-1141
Country	:	US
Telephone Number	:	201-939-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 FORT HAMILTON PARKWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-6003
Country	:	US
Telephone Number	:	718-748-7364
Fax Number	:	718-748-4419

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

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	07/08/2007

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