Individual
KIM BUSICHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
952 5TH AVE APT 4A, NEW YORK, NY 10075-1749
(212) 535-8932
Mailing address
952 5TH AVE APT 4A, NEW YORK, NY 10075-1749
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
017076
NY
Other
Enumeration date
08/22/2017
Last updated
09/05/2017
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