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Individual

DR. JAY NEWMAN BOSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1430 BROADWAY RM 1510, NEW YORK, NY 10018-3368
(347) 201-0566
(212) 262-2858
Mailing address
350 LINCOLN PL APT 2A2B, BROOKLYN, NY 11238-5800
(617) 697-6771

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
026010
NY

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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