Individual
MRS. JUDITH STERN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W,
Contact information
Practice address
952 5TH AVE, NEW YORK, NY 10075-1740
(212) 794-1496
Mailing address
952 5TH AVE APT 5C, NEW YORK, NY 10075-1749
(212) 794-1496
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R021795-1
NY
Other
Enumeration date
01/29/2012
Last updated
01/29/2012
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