Individual
DR. SHIBANI RAY MAZUMDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, SC.D
Contact information
Practice address
250 E 30TH ST APT 9A, NEW YORK, NY 10016-8298
(631) 786-9312
(212) 263-8995
Mailing address
466 W 153RD ST, NEW YORK, NY 10031-1101
(631) 786-9312
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
020691
NY
Other
Enumeration date
08/20/2007
Last updated
09/08/2020
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