Individual
MOMOKO TAKANASHI-BUERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3512 QUENTIN RD, BROOKLYN, NY 11234-4244
(646) 924-6919
Mailing address
3512 QUENTIN RD, BROOKLYN, NY 11234-4244
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/22/2019
Last updated
08/23/2021
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