Individual
KSENIIA GVOZDIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3841
(212) 844-1548
Mailing address
10 NATHAN D PERLMAN PL # 2B06A, NEW YORK, NY 10003-3841
(212) 844-1538
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025030
NY
Other
Enumeration date
07/05/2019
Last updated
08/05/2022
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