Individual
KIMBERLY FISHBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 PRINCE ST FL 4, NEW YORK, NY 10012-2946
(646) 537-1713
Mailing address
177 PRINCE ST FL 4, NEW YORK, NY 10012-2946
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024010
NY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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