Individual
DR. JENIFER MAROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
145 W 58TH ST, NEW YORK, NY 10019-1529
(917) 620-0757
Mailing address
315 BLEECKER ST, 175, NEW YORK, NY 10014-3427
(917) 620-0757
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015289
NY
Other
Enumeration date
09/24/2006
Last updated
11/19/2009
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