Individual
DR. KIMBERLY MACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1129 NORTHERN BLVD STE 404, MANHASSET, NY 11030-3022
(917) 485-5991
Mailing address
1129 NORTHERN BLVD STE 404, MANHASSET, NY 11030-3022
(917) 485-5991
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022035
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
10/23/2013
Last updated
03/28/2019
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