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Organization
UPPER EAST SIDE PSYCHOLOGY SERVICES P.C.
Active
Organization
UPPER EAST SIDE PSYCHOLOGY SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE SIMON PSY.D. (CEO)
(212) 537-6813
Entity
Organization
Contact information
Practice address
343 E 78TH ST, SUITE D, NEW YORK, NY 10075-1315
(212) 537-6813
(212) 655-4459
Mailing address
1461 A FIRST AVENUE, SUITE # 315, NEW YORK, NY 10075
(212) 537-6813
(212) 655-4459
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015689
NY
Other
Enumeration date
12/03/2010
Last updated
08/16/2011
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