Individual
DR. AVIVA ANTHEA GITLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
34 S BROADWAY, SUITE 512, WHITE PLAINS, NY 10601-4400
(914) 997-0732
Mailing address
18 MYRTLE ST, WHITE PLAINS, NY 10606-2810
(914) 997-0732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014281-1
NY
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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