Individual
MELISSA BETH ILARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
215 W 88TH ST, 1C, NEW YORK, NY 10024-2321
(917) 597-7161
Mailing address
215 W 88TH ST, #1C, NEW YORK, NY 10024-2321
(917) 597-7161
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P74361
NY
Other
Enumeration date
01/05/2011
Last updated
04/22/2013
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