Individual
AIMEE RADOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
441 W END AVE, SUITE 1G, NEW YORK, NY 10024-5326
(212) 729-7222
Mailing address
50 W 96TH ST, APT. 1C, NEW YORK, NY 10025-6526
(212) 729-7222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020396
NY
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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