Organization
PARK EAST PSYCHOLOGICAL ASSOC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY ALAN LUBLIN PH.D. (ASSISTANT DIRECTOR)
(212) 628-9200
Entity
Organization
Contact information
Practice address
3 EAST 68 ST., NEW YORK, NY 10065
(212) 628-9200
(212) 472-7253
Mailing address
3 EAST 68 ST., NEW YORK, NY 10065
(212) 628-9200
(212) 472-7253
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006485
NY
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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