Individual
ANISHA TALATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 75TH ST, ELMHURST, NY 11373-1011
(631) 273-2773
Mailing address
998 CROOKED HILL RD, BLDG 82, BRENTWOOD, NY 11717-1019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020608
NY
Other
Enumeration date
06/25/2014
Last updated
04/18/2016
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