Individual
MISS ALYSE MARIE DIBENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
451 CLARKSON AVE, N BLDG, ROOM 214, BROOKLYN, NY 11203-2057
(718) 245-5057
Mailing address
515 E 14TH ST, APT 11D, NEW YORK, NY 10009-2909
(212) 253-1315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016791
NY
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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