Doctor Name: | DR. ROBERT NACHTMAN |
NPI Number: | 1144341652 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D |
License Number: | 4492 |
Business Practice Address: | 16 Robin Dr Hauppauge, NY - 117881126 |
Business Phone Number: | 6319797728 |
Business Fax Number: | 6313664816 |
Mailing Address: | 16 Robin Dr, HAUPPAUGE |
State: | NY |
Postal Code: | 117881126 |
Phone Number: | 6319797728 |
Fax Number: | 6313664816 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 4492 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |