Individual
DR. ALLA PROKHOVNIK-RAPHIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-7349
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
022194
NY
103TC0700X
Clinical Psychologist
Primary
022194
NY
Other
Enumeration date
09/23/2019
Last updated
01/22/2020
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