Individual
CONCETTA M DECARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1160 5TH AVE, SUITE 101, NEW YORK, NY 10029-6928
(212) 828-5414
Mailing address
1160 5TH AVE, SUITE 101, NEW YORK, NY 10029-6928
(212) 828-5414
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
012863
NY
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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