Individual
MRS. VICTORIA KRISTAL-KOTLYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
70 W 95TH ST, NEW YORK, NY 10025-6721
(917) 999-9999
Mailing address
70 W 95TH ST, NEW YORK, NY 10025-6721
(917) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
08/10/2010
Last updated
09/07/2012
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