Individual
MARK PEZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 CARPENTER PL, SEA CLIFF, NY 11579-2103
(917) 407-5008
Mailing address
3 CARPENTER PL, SEA CLIFF, NY 11579-2103
(917) 407-5008
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012059
NY
Other
Enumeration date
05/30/2006
Last updated
09/06/2007
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