Individual
DR. WILFRED VAN GORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
240 CENTRAL PARK S APT 2B, NEW YORK, NY 10019-1429
(212) 247-1350
Mailing address
240 CENTRAL PARK S APT 2B, NEW YORK, NY 10019-1429
(212) 247-1350
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071007843
IL
103G00000X
Clinical Neuropsychologist
Primary
12676
NY
Other
Enumeration date
03/13/2007
Last updated
06/14/2023
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