Individual
DR. STEVEN BOTTICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
289 BLEECKER ST, NEW YORK, NY 10014-4106
(212) 414-4899
Mailing address
289 BLEECKER ST, NEW YORK, NY 10014-4106
(212) 414-4899
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012332
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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