Individual
MS. JACQUELINE CLAIRE BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
82 WASHINGTON SQ E FL 4, NEW YORK, NY 10003-6680
(212) 998-5162
(212) 995-4045
Mailing address
311 BRONXVILLE RD, BRONXVILLE, NY 10708-2111
(914) 961-6953
(212) 995-4045
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
000286
NY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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