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Organization
NEUROFEEDBACK THERAPY SERVICES OF NEW YORK
Active
Organization
NEUROFEEDBACK THERAPY SERVICES OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LLEWELLYN SMITH LCSW (OWNER)
(212) 877-7929
Entity
Organization
Contact information
Practice address
140 W 79TH ST APT 2B, NEW YORK, NY 10024-6423
(212) 877-7929
Mailing address
140 W 79TH ST APT 2B, NEW YORK, NY 10024-6423
(212) 877-7929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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