Individual
BONNIE MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
411 E 53RD ST APT 15A, NEW YORK, NY 10022-5111
(646) 872-8238
Mailing address
411 E 53RD ST APT 15A, NEW YORK, NY 10022-5111
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
019577-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019577-1
NY STATE LICENSE
NY
Enumeration date
02/09/2020
Last updated
02/09/2020
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