Individual
DR. EMILY BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
210 E 64TH ST, NEW YORK, NY 10065-7471
(212) 702-7549
Mailing address
210 E 64TH ST, NEW YORK, NY 10065-7471
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018704
NY
Other
Enumeration date
08/05/2010
Last updated
03/11/2016
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