Individual
DR. ANNETTE DEMICHELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., J.D.
Contact information
Practice address
300 CENTRAL PARK W APT 1C, NEW YORK, NY 10024-1590
(917) 971-8887
Mailing address
660 W 261ST ST, BRONX, NY 10471-1013
(917) 971-8887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024544
NY
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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