Individual
AMY MICHAEL RACANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
635 W 165TH ST FL 6, COLUMBIA UNIVERSITY MEDICAL CENTER-NYPH, NEW YORK, NY 10032-3724
(646) 317-6305
Mailing address
73 RICE AVE, STATEN ISLAND, NY 10314-2509
(718) 986-3130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
68 020777
NY
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/03/2013
Last updated
10/09/2014
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