Individual
NICOLE KOSANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
519 8TH AVENUE, 9TH FLOOR, NEW YORK, NY 10018
(212) 683-3339
(212) 683-3340
Mailing address
526 58TH ST, BROOKLYN, NY 11220-3818
(646) 425-8619
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015461
NY
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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