Individual
JARED HIMMELBLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 BEACH ST, STATEN ISLAND, NY 10304-2702
(718) 720-2603
Mailing address
56 BEACH ST, STATEN ISLAND, NY 10304-2702
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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