Individual
DR. IVY DAWN MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E 75TH ST APT 26N, NEW YORK, NY 10021-3380
(516) 458-1118
Mailing address
300 E 75TH ST APT 26N, NEW YORK, NY 10021-3380
(516) 458-1118
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011104-01
NY
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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