Individual
ERIC GRANT SHOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
91 JEWEL ST APT 3R, BROOKLYN, NY 11222-3025
(516) 376-2687
Mailing address
91 JEWEL ST APT 3R, BROOKLYN, NY 11222-3025
(516) 376-2687
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001080
NY
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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