Individual
DR. KELLY ZANETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
25 CENTRAL PARK W, 1L, NEW YORK, NY 10023-7253
(201) 777-0596
Mailing address
1110 GARDEN ST, HOBOKEN, NJ 07030-4305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020280
NY
Other
Enumeration date
09/28/2013
Last updated
09/28/2013
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