Individual
MS. CYNTHIA ANN MEDALIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 W 86TH ST, SUITE 1F, NEW YORK, NY 10024-3644
(212) 787-5684
Mailing address
30 W 86TH ST, SUITE 1F, NEW YORK, NY 10024-3644
(212) 787-5684
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
0286371
NY
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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