Individual
DR. JAIME BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
303 5TH AVE, #1003, NEW YORK, NY 10016
(914) 712-8208
Mailing address
303 5TH AVE, #1003, NEW YORK, NY 10016
(914) 712-8208
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019526
NY
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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