Provider Demographics
NPI:1063911097
Name:RINAT, LIAT P (MA)
Entity type:Individual
Prefix:MS
First Name:LIAT
Middle Name:P
Last Name:RINAT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 TANNERS RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1628
Mailing Address - Country:US
Mailing Address - Phone:917-561-1261
Mailing Address - Fax:
Practice Address - Street 1:205 E MAIN ST STE 1-7
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7929
Practice Address - Country:US
Practice Address - Phone:631-988-3138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist