Individual
DR. CAROLYN REBECCA KHANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
920 48TH ST, BROOKLYN, NY 11219-2918
(201) 927-8361
Mailing address
920 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-7765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022797
NY
Other
Enumeration date
08/27/2018
Last updated
01/15/2019
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