Doctor Name: | DR. PHYLLIS BENDER EDELHEIT |
NPI Number: | 1629104021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 189417 |
Business Practice Address: | 212 South St Oyster Bay, NY - 117712222 |
Business Phone Number: | 5166242330 |
Business Fax Number: | 5169222893 |
Mailing Address: | 18 Gailview Dr, OYSTER BAY |
State: | NY |
Postal Code: | 117713603 |
Phone Number: | 5166242330 |
Fax Number: | 5169222893 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 04/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 189417 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |