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Organization
ST HEALTH DE, P.A.
Active
Organization
ST HEALTH DE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND COKU (MANAGER)
(646) 844-2332
Entity
Organization
Contact information
Practice address
809 BROADWAY FL 12, NEW YORK, NY 10003-4701
(786) 600-3353
(877) 792-1004
Mailing address
19 W 24TH ST FL 4, NEW YORK, NY 10010-3239
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
07/22/2026
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