Individual
DR. KORE NISSENSON GLIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-7667
Mailing address
277 W 10TH ST APT 4C, NEW YORK, NY 10014-2583
(646) 765-5044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017361
NY
Other
Enumeration date
04/23/2008
Last updated
12/08/2008
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