Individual
DR. BRIGITTE PANTEN-LICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1040 MAIN ST, PEEKSKILL, NY 10566-2906
(914) 737-8217
(914) 734-2494
Mailing address
199 BABBITT RD APT 2B, BEDFORD HILLS, NY 10507-2050
(914) 864-1467
(914) 734-2494
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
156899
NY
103TP0016X
Prescribing (Medical) Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156899
STATE LICENSE
NY
Enumeration date
04/25/2007
Last updated
07/08/2007
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