Individual
JOSEPH A CANCELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
243 W END AVE, SUITE 101, NEW YORK, NY 10023-3615
(212) 724-7872
Mailing address
243 W END AVE, SUITE 101, NEW YORK, NY 10023-3615
(212) 724-7872
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008881-1
NY
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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