Individual
DR. ELISHEVA KONSTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1636 COLEMAN ST, BROOKLYN, NY 11234-4311
(347) 702-8113
Mailing address
1636 COLEMAN ST, BROOKLYN, NY 11234-4311
(347) 702-8113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
12/17/2012
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