Individual
DR. INGA BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
50 LEXINGTON AVE, SUITE LL3, NEW YORK, NY 10010-2935
(646) 522-9525
Mailing address
50 LEXINGTON AVE, SUITE LL3, NEW YORK, NY 10010-2935
(646) 522-9525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018776
NY
Other
Enumeration date
07/28/2010
Last updated
11/03/2010
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