Individual
DR. ALAN DIENSTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
525 WEST 238TH ST, 4J, BRONX, NY 10463-1846
(917) 301-4622
(718) 543-5204
Mailing address
525 WEST 238TH ST, 4J, BRONX, NY 10463-1846
(917) 301-4622
(718) 543-5204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010176
NY
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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