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Individual

DR. DIANA LEE GREENWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
40 W 116TH ST, B403, NEW YORK, NY 10026-2864
(212) 362-4856
(212) 362-4856
Mailing address
40 W 116TH ST, B403, NEW YORK, NY 10026-2864
(212) 362-4856
(212) 362-4856

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5189
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03184970
NY
Enumeration date
03/27/2007
Last updated
04/04/2013
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