Individual
DR. MARK K CEDERBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3 LEAR JET LN, BEHAVIORAL HEALTH SPECIALISTS PLLC, SUITE 105, LATHAM, NY 12110-2314
(518) 785-3614
Mailing address
325 COUNTY ROUTE 76, MECHANICVILLE, NY 12118-2741
(518) 956-3465
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016544-1
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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