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NPI Code Detail

MEDICARE: DR. JAMES CARLSON REMBAR PH.D.

MEDICARE: DR. JAMES CARLSON REMBAR 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
1103T00000XPsychologist06735-1NY

General Provider Information

NPI Number : 1891843041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES CARLSON REMBAR PH.D.
Provider Business Mailing Address
First Line : 510 N BROADWAY
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10603-3217
Country : US
Telephone Number : 914-949-1980
Fax Number :
Provider Business Practice Location Address
First Line : 510 N BROADWAY
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10603-3217
Country : US
Telephone Number : 914-949-1980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2007
Last Update Date : 07/08/2007

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