Provider Demographics
NPI:1730589250
Name:TAL, JOSHUA ZVI (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ZVI
Last Name:TAL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2634
Mailing Address - Country:US
Mailing Address - Phone:347-466-7432
Mailing Address - Fax:
Practice Address - Street 1:49 W 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3601
Practice Address - Country:US
Practice Address - Phone:347-466-7432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
173F00000X
NY022259103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No173F00000XOther Service ProvidersSleep Specialist, PhD