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MARYELLYN DUANEPSYCHOLOGISTP.C. NPI 1912187766


NPI Information

NPI: 1912187766
Provider Name: MARYELLYN DUANE,PSYCHOLOGISTP.C.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
185 E 85TH ST
OFFICE #5
NEW YORK, NY
ZIP 10028
Phone: (212) 860-0042
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MARYELLYN DUANE,PSYCHOLOGISTP.C. is a clinical neuropsychologist in New York, NY. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. MARYELLYN DUANE,PSYCHOLOGISTP.C. NPI is 1912187766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

185 E 85TH ST
OFFICE #5
NEW YORK, NY
ZIP 10028-140
Phone: (212) 860-0042
Fax: (212) 860-1342

The provider's authorized official is Maryellyn Duane .
The authorized official title is President and has the following contact phone number (212) 860-0042.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 4/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist6931NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WZVQZ1MEDICARE PINNEW YORK
2V5573ZVQZ1MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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