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Organization
NYC PSYCHOLOGICAL SERVICES, PLLC
Active
Organization
NYC PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL IVANOV PH.D. (DIRECTOR)
(212) 602-1722
Entity
Organization
Contact information
Practice address
222 E 44TH ST APT 19K, NEW YORK, NY 10017-4453
(212) 602-1722
Mailing address
222 E 44TH ST APT 19K, NEW YORK, NY 10017-4453
(212) 602-1722
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020355
NY
Other
Enumeration date
06/09/2014
Last updated
08/14/2025
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