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Individual

DR. ISAAC TYLIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
128 WOOSTER ST, SUITE #4, NEW YORK, NY 10012-3809
(212) 691-2378
Mailing address
32 MORTON ST, APT. 5C, NEW YORK, NY 10014-4056
(212) 691-2378

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006142
NY

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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