Organization
ERNESTO LIRA DE LA ROSA LICENSED PSYCHOLOGIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO NOAM LIRA DE LA ROSA PH.D (LICENSED CLINICAL PSYCHOLOGIST)
(347) 652-1148
Entity
Organization
Contact information
Practice address
352 7TH AVE FL 12A, NEW YORK, NY 10001-5893
(347) 652-1148
Mailing address
68 BRADHURST AVE APT 8G, NEW YORK, NY 10039-3310
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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