Provider Demographics
NPI:1588909501
Name:DOBNER, TSIVYA (EDM)
Entity type:Individual
Prefix:MRS
First Name:TSIVYA
Middle Name:
Last Name:DOBNER
Suffix:
Gender:F
Credentials:EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MARINER WAY
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1616
Mailing Address - Country:US
Mailing Address - Phone:845-548-8130
Mailing Address - Fax:
Practice Address - Street 1:6 MARINER WAY
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1616
Practice Address - Country:US
Practice Address - Phone:845-548-8130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-02
Last Update Date:2012-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool