Individual
MELINDA JOY KONIGSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
630 FLUSHING AVE FL 3, BROOKLYN, NY 11206-5026
(917) 304-3699
Mailing address
630 FLUSHING AVE FL 3, BROOKLYN, NY 11206-5026
(917) 304-3699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015820-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02519340
—
NY
01
—
P3136879
OXFORD
NY
Enumeration date
04/23/2007
Last updated
01/16/2020
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