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Individual

DR. ALYSSA MARIE VINCENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
115 E 23RD ST FL 3, NEW YORK, NY 10010-4565
(646) 450-3064
Mailing address
105 OAK CIR, MAHOPAC, NY 10541-4147
(914) 309-3202

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024141-01
NY
103TC0700X
Clinical Psychologist
05016
MD

Other

Enumeration date
02/01/2012
Last updated
12/07/2021
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