Provider Demographics
NPI:1730749227
Name:SASKIN, MITCHELL H (PHD)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:H
Last Name:SASKIN
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 1:139 W 82ND ST APT 1E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5544
Mailing Address - Country:US
Mailing Address - Phone:212-580-5092
Mailing Address - Fax:
Practice Address - Street 1:139 W 82ND ST APT 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5544
Practice Address - Country:US
Practice Address - Phone:212-580-5092
Practice Address - Fax:212-580-9181
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012932103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical