Individual
MARYANNE KILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
37 E 28TH ST RM 408, NEW YORK, NY 10016-7919
(917) 733-2038
Mailing address
315 RANDOLPH AVE, CAPE CHARLES, VA 23310-3209
(917) 733-2038
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001154
NY
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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