Individual
JAVIER I GIL-CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3512 QUENTIN RD STE 110, BROOKLYN, NY 11234-4245
(800) 275-3243
Mailing address
3512 QUENTIN RD STE 110, BROOKLYN, NY 11234-4245
(800) 275-3243
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
023053
NY
Other
Enumeration date
01/16/2018
Last updated
03/07/2019
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