Individual
DR. MARYA GWADZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 W 15TH ST, FIRST FLOOR, NEW YORK, NY 10011-6539
(917) 863-2125
Mailing address
503 50TH AVE, APT 2D, LONG ISLAND CITY, NY 11101-5707
(917) 863-2125
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014551
NY
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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