Individual
ELENA VISCONTI DI MODRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.SC., L.P.
Contact information
Practice address
303 5TH AVE, SUITE 1910, NEW YORK, NY 10016-6601
(646) 785-4622
Mailing address
303 5TH AVE, SUITE 1910, NEW YORK, NY 10016-6601
(646) 785-4622
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000859
NY
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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