Individual
MISS MELISSA MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
650 ACADEMY ST, NEW YORK, NY 10034-5004
(646) 317-0202
Mailing address
650 ACADEMY ST # 229, NEW YORK, NY 10034-5004
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
024541
NY
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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