Individual
BRIAN C JO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
51 W 51ST ST STE 340, NEW YORK, NY 10019-1951
(212) 326-8441
Mailing address
361 NEWARK AVE APT 303, JERSEY CITY, NJ 07302-2284
(732) 995-7927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022952
NY
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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