Individual
DAVID C BANTHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
101 W 81ST ST, APT. 620, NEW YORK, NY 10024-7210
(917) 207-8739
Mailing address
101 W 81ST ST, APT. 620, NEW YORK, NY 10024-7210
(917) 207-8739
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020191
NY
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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