Individual
MS. AYALAH SHAPIRO BIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 2ND AVENUE, SUITE #102, NEW YORK, NY 10128
(917) 935-9641
Mailing address
1751 2ND AVE APT 5A, NEW YORK, NY 10128-5376
(917) 935-9641
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001046
NY
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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