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Organization
BLC PSYCHOLOGY TRIBECA PLLC
Active
Organization
BLC PSYCHOLOGY TRIBECA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY GEISLER PSY.D (OFFICER)
(516) 902-3902
Entity
Organization
Contact information
Practice address
79 CHAMBERS ST, SECOND FLOOR, NEW YORK, NY 10007-1824
(516) 902-3902
Mailing address
79 CHAMBERS ST, SECOND FLOOR, NEW YORK, NY 10007-1824
(516) 902-3902
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
01/22/2014
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