Individual
ABIGAIL GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1745 BROADWAY, 17 FL, NEW YORK, NY 10019-4640
(212) 851-8100
(212) 537-0102
Mailing address
60 SHERWOOD AVE, OSSINING, NY 10562-3547
(845) 975-8719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
13693
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01999742
—
NY
Enumeration date
07/26/2006
Last updated
06/10/2015
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