Individual
DR. DALISSA NEVAREZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1468 MADISON AVE FL 3, NEW YORK, NY 10029-6508
(888) 702-0630
Mailing address
4121 28TH ST APT 11G, LONG ISLAND CITY, NY 11101-3764
(787) 502-9360
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023949-01
NY
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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