Provider Demographics
NPI:1629962675
Name:SOFER PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:SOFER PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ORLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOFER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:917-473-8075
Mailing Address - Street 1:1623 3RD AVE APT 35F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3645
Mailing Address - Country:US
Mailing Address - Phone:917-734-0386
Mailing Address - Fax:
Practice Address - Street 1:420 LEXINGTON AVE RM 300
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10170-0399
Practice Address - Country:US
Practice Address - Phone:917-473-8075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1609032390OtherNPPES