Individual
DR. KIMBERLY ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3959 BROADWAY # CHONY6, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(646) 317-0509
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
08/14/2019
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