Individual
DR. CLEMENTINA MICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3250 WESTCHESTER AVE, BRONX, NY 10461-4500
(718) 414-2601
Mailing address
2812 213TH ST, BAYSIDE, NY 11360-2535
(646) 419-6208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020715
NY
Other
Enumeration date
03/18/2010
Last updated
10/19/2023
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