Individual
DEBRA S LILIENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 COPLEY RD, LARCHMONT, NY 10538-3209
(914) 834-5789
Mailing address
30 COPLEY RD, LARCHMONT, NY 10538-3209
(914) 834-5789
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
RO31977-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NS4289
OXFORD
NY
Enumeration date
04/04/2007
Last updated
07/08/2007
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