Dr. Jack Herskovits, PsyD
Psychologist in New York, NY. Individual provider (NPI-1).
NPI number1861697872
StatusActive
Last updated in NPPESApr 20, 2016
Details
- NPI
- 1861697872
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jack Herskovits
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2007
- Last updated
- Apr 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 0084011 | NY | Yes |
Practice location
80 Eighth Avenue, #1108New York, NY 10011
Phone 212-924-3192
Mailing address
80 Eighth Avenue, #1108New York, NY 10011
Phone 212-924-3192
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