Individual
DR. ARIEL SHIDLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
420 W 24TH ST, SUITE 1B, NEW YORK, NY 10011-1325
(212) 243-9596
Mailing address
420 W 24TH ST, SUITE 1B, NEW YORK, NY 10011-1325
(212) 243-9596
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011402-1
NY
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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