Individual
DR. MARC R ADELSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1560 PELHAM PKWY S, 1 C, BRONX, NY 10461-1114
(718) 409-0079
(718) 409-0079
Mailing address
27 MAPLE HILL RD, VALHALLA, NY 10595-1403
(914) 544-7775
(914) 948-5351
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1522
CT
103TC0700X
Clinical Psychologist
Primary
9812
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02024248
—
NY
Enumeration date
11/20/2006
Last updated
03/06/2012
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