Organization
JAIME E INCLAN PHD P C
Active
Other names
Jaime Inclan PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN EKWALL (ASSISTANT TO DR. INCLAN)
(212) 387-7433
Entity
Organization
Contact information
Practice address
85 5TH AVE, SUITE 901, NEW YORK, NY 10003-3019
(212) 741-3448
Mailing address
540 E 13TH ST, ATTN: SHAWN EKWALL, NEW YORK, NY 10009-3519
(212) 387-7400
(212) 387-7432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006997-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006997-1
NYC PSYCHOLOGY LISCENSE
NY
Enumeration date
05/13/2009
Last updated
05/13/2009
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