Individual
EILEEN A CESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
910 W END AVE, 1C, NEW YORK, NY 10025-3533
(212) 851-8100
(212) 932-0964
Mailing address
8 RENVILLE CT, MILL NECK, NY 11765-1300
(516) 816-5527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
14868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02176763
—
NY
01
—
680014214
RAILROAD MEDICARE
NY
Enumeration date
07/23/2006
Last updated
09/27/2011
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