| Doctor Name: | DR. ELAINE DINITZ |
| NPI Number: | 1144336868 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 004184 |
| Business Practice Address: | 142 Mineola Ave Roslyn Heights, NY - 115772056 |
| Business Phone Number: | 5166210618 |
| Business Fax Number: | 5166256226 |
| Mailing Address: | 79 Eider Hill Ct, MANHASSET |
| State: | NY |
| Postal Code: | 110304030 |
| Phone Number: | 5166251057 |
| Fax Number: | 5166256226 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 004184 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |