Individual
DR. MARGE BLAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
352 MARLBOROUGH RD, BROOKLYN, NY 11226-4512
(718) 693-5706
Mailing address
352 MARLBOROUGH RD, BROOKLYN, NY 11226-4512
(718) 693-5706
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
000244
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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