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Individual

DR. GAIL SISSELMAN LENCZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
654 MADISON AVE, SUITE 1905, NEW YORK, NY 10021-8404
(917) 957-4245
(646) 349-2780
Mailing address
654 MADISON AVE, SUITE 1905, NEW YORK, NY 10021-8404
(917) 957-4245
(646) 349-2780

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
013707
NY
103TA0700X
Adult Development & Aging Psychologist
013707
NY
103TC0700X
Clinical Psychologist
013707
NY
103TF0200X
Forensic Psychologist
Primary
013707
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P2753984
OXFORD HEALTH PROVIDER ID
NY
Enumeration date
12/15/2006
Last updated
09/11/2025
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