Doctor Name: | DR. JOEL BLOCK |
NPI Number: | 1134290273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 003803 |
Business Practice Address: | 460 Florencia Pl Melville, NY - 117475275 |
Business Phone Number: | 6314232388 |
Business Fax Number: | 6315491369 |
Mailing Address: | 460 Florencia Pl, MELVILLE |
State: | NY |
Postal Code: | 117475275 |
Phone Number: | 6314232388 |
Fax Number: | 6315491369 |
NPI Enumeration Date: | 11/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 003803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |