Individual
AMANDA AIVAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
777 WESTCHESTER AVE STE 101, WHITE PLAINS, NY 10604-3520
(914) 433-1414
Mailing address
32 MAYNARD ST APT 3A, TUCKAHOE, NY 10707-3436
(914) 433-1414
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001067
NY
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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