Individual
DR. DANIEL JOSE GAZTAMBIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
411 W 114TH ST RM 6C-02, NEW YORK, NY 10025-1710
(212) 523-7665
Mailing address
603 W 140TH ST APT 25, NEW YORK, NY 10031-7109
(407) 864-3554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021687
NY
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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