Individual
HARLAN MATUSOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
928 BROADWAY, SUITE 1206, NEW YORK, NY 10010-6008
(914) 320-0350
Mailing address
11 BROOKLANDS, APT 3I, BRONXVILLE, NY 10708-3524
(914) 320-0350
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000917
NY
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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