Individual
PHILIP ANDREW LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
116 W 23RD ST FL 5, NEW YORK, NY 10011-2599
(732) 630-6920
Mailing address
116 W 23RD ST FL 5, NEW YORK, NY 10011-2599
(732) 630-6920
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001073
NY
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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