Individual
DR. STEPHEN BRUCE KILDARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
500 E 5TH ST, MOUNT VERNON, NY 10553-2115
(914) 667-1128
Mailing address
500 E 5TH ST, MOUNT VERNON, NY 10553-2115
(914) 667-1128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013783
NY
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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