Individual
DR. LAURA K NISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
400 E FORDHAM RD, 5TH FLOOR, BRONX, NY 10458
(718) 364-3500
(718) 367-2092
Mailing address
200 E 66TH ST, APT A2002, NEW YORK, NY 10021
(212) 714-5400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
139261
NY
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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