Individual
DR. MARCEL RYAN TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2125 21ST ST APT 2, ASTORIA, NY 11105-3681
(914) 996-8377
Mailing address
2125 21ST ST APT 2, ASTORIA, NY 11105-3681
(914) 996-8377
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
026049
NY
390200000X
Student in an Organized Health Care Education/Training Program
P111673
NY
Other
Enumeration date
07/03/2023
Last updated
10/11/2023
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