Doctor Name: | ERIC NEBLUNG |
NPI Number: | 1124153580 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 017068-1 |
Business Practice Address: | 87 South Route 9 W Haverstraw, NY - 10927 |
Business Phone Number: | 8454295381 |
Business Fax Number: | 8454293001 |
Mailing Address: | 1 Old Country Rd, Suite 271 CARLE PLACE |
State: | NY |
Postal Code: | 115141801 |
Phone Number: | 8007256280 |
Fax Number: | 8007256380 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 017068-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |