Individual
DR. ANTHONY LEWIS BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
330 W 58TH ST, SUITE 507, NEW YORK, NY 10019-1827
(212) 582-3682
Mailing address
330 W 58TH ST, SUITE 507, NEW YORK, NY 10019-1827
(212) 582-3682
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007530
NY
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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