Individual
DR. KIMIA POURREZAEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 E 77TH ST, NEW YORK, NY 10075
(212) 434-2830
Mailing address
119 AINSLIE ST APT 3, BROOKLYN, NY 11211-3539
(215) 479-8282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
283366
NY
2084P0804X
Child & Adolescent Psychiatry Physician
283366
NY
Other
Enumeration date
07/22/2013
Last updated
07/10/2018
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