Individual
JACOB NYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
1090 AMSTERDAM AVE STE 16F, NEW YORK, NY 10025-1737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024300
NY
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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