Individual
ILANA REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1324 VICTORY BOULEVARD, SUITE A, STATEN ISLAND, NY 10301
(718) 448-5559
(718) 815-1563
Mailing address
1324 VICTORY BOULEVARD, SUITE A, STATEN ISLAND, NY 10301
(718) 448-5559
(718) 815-1563
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
06077
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008600
GHI
NY
01
—
146696
VALUE OPTIONS
NY
Enumeration date
11/01/2006
Last updated
07/21/2022
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