Provider Demographics
NPI:1174778997
Name:TAFAPOLSKY, LINDA (PSYD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:TAFAPOLSKY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MANITOU WOODS
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524-3001
Mailing Address - Country:US
Mailing Address - Phone:914-523-1825
Mailing Address - Fax:845-424-3702
Practice Address - Street 1:36 MANITOU WOODS
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:NY
Practice Address - Zip Code:10524-3001
Practice Address - Country:US
Practice Address - Phone:914-523-1825
Practice Address - Fax:845-424-3702
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9251-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical