Individual
LETICIA WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MADISON AVE FL 10D, NEW YORK, NY 10016-2820
(347) 871-7030
Mailing address
240 MADISON AVE FL 10D, NEW YORK, NY 10016-2820
(347) 871-7030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05-001581
NY
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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