Individual
DR. MARA CONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
320 W 86TH ST, NEW YORK, NY 10024-3139
(917) 453-4798
(212) 873-3468
Mailing address
320 W 86TH ST, NEW YORK, NY 10024-3139
(917) 453-4798
(212) 873-3468
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6187487
NY
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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