Individual
DR. MARY DENISE CANCELLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
425 E 61ST ST, PH 1307, NEW YORK, NY 10021-8722
(212) 821-0621
(212) 821-0994
Mailing address
50 PARK AVE, WHITE PLAINS, NY 10603-3528
(914) 949-1439
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016914
NY
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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