1851866982 NPI number — POSITIVE PSYCHOLOGY ASSOCIATES PLLC

Table of content: DIANE PERRON REGISTERED NURSE (NPI 1225900996)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851866982 NPI number — POSITIVE PSYCHOLOGY ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
POSITIVE PSYCHOLOGY ASSOCIATES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1851866982
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 EAST 40TH STREET
Provider Second Line Business Mailing Address:
SUITE 1001
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-0113
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-354-2666
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 EAST 40TH STREET
Provider Second Line Business Practice Location Address:
SUITE 1001
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-0113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-354-2666
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2018

Additional Information

Authorized Official

Authorized Official Last Name:
GALETTE
Authorized Official First Name:
FRITZ
Authorized Official Middle Name:
Authorized Official Title or Position:
PSYCHOLOGIST
Authorized Official Telephone Number:
646-265-2274

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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