Organization
JOHN M ROSS PH.D PSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MUNDOR ROSS PHD (PRESIDENT)
(917) 273-6275
Entity
Organization
Contact information
Practice address
443 E 87TH ST, NEW YORK, NY 10128-6501
(212) 289-6553
Mailing address
170 EAST END AVENUE, 2L, NEW YORK, NY 10128
(917) 273-6275
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
005123
NY
Other
Enumeration date
03/03/2016
Last updated
10/17/2018
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