Basic Information
Provider Information
NPI: 1316231244
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OBERFIELD
FirstName: NORA
MiddleName: CATHERINE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 622 W. 168TH ST. - COLUMBIA UNIVERSITY MEDICAL CENTER
Address2: SPECIAL NEEDS CLINIC - VC-4 EAST
City: NEW YORK
State: NY
PostalCode: 10032
CountryCode: US
TelephoneNumber: 6463174105
FaxNumber:  
Practice Location
Address1: 550 1ST AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100166402
CountryCode: US
TelephoneNumber: 2122637300
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2011
LastUpdateDate: 05/04/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0804X268401NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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