Organization
LEANNE DOMASH, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANNE DOMASH (PRESIDENT)
(212) 982-6672
Entity
Organization
Contact information
Practice address
77 E 12TH ST, #19D, NEW YORK, NY 10003-5002
(212) 982-6672
Mailing address
77 E 12TH ST, #19D, NEW YORK, NY 10003-5002
(212) 982-6672
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
#4388
NY
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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