Individual
DR. JUDITH ELLEN HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 W 78TH ST, #2A, NEW YORK, NY 10024-6703
(212) 362-6406
Mailing address
310 W 105TH ST, NEW YORK, NY 10025-3401
(212) 362-6406
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05971
NY
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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