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Individual

LEIDE PORCU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD LPSA

Contact information

Practice address
303 5TH AVE RM 1309, NEW YORK, NY 10016-6646
(212) 929-7724
Mailing address
303 5TH AVE RM 1309, NEW YORK, NY 10016-6646
(212) 929-7724

Taxonomy

Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
000210-1
NY

Other

Enumeration date
07/06/2006
Last updated
04/09/2015
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