Individual
MELINDA BLITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
910 W END AVE, 1C, NEW YORK, NY 10025-3533
(212) 851-8100
(212) 932-0964
Mailing address
3 CARPENTER PL, SEA CLIFF, NY 11579-2103
(516) 353-2513
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016956
NY
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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