Individual
ERNESTO MUJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
20 WEST 86TH STREET, SUITE 1C, NEW YORK, NY 10024-3604
(212) 721-0369
Mailing address
20 WEST 86TH STREET, SUITE 1C, NEW YORK, NY 10024-3604
(212) 721-0369
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011188
NY
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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