Organization
MICHELE D KOFMAN PSYCHOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE KOFMAN PHD MPH (PRESIDENT)
(917) 405-3991
Entity
Organization
Contact information
Practice address
210 W 70TH ST, SUITE 01, NEW YORK, NY 10023-4304
(917) 405-3991
Mailing address
210 W 70TH ST, SUITE 01, NEW YORK, NY 10023-4304
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0178791
NY
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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