Individual
KIRA BERKE BLAUSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1841 BROADWAY, 4TH FLOOR, NEW YORK, NY 10023-7603
(212) 333-3444
Mailing address
1165 5TH AVE, APARTMENT 10A, NEW YORK, NY 10029-6931
(212) 860-2424
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017190
NY
Other
Enumeration date
05/21/2007
Last updated
07/10/2007
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