Individual
DR. KIMBERLY OSTOLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
513 REYNOLDS AVE, BRONX, NY 10465-3619
(646) 456-5356
Mailing address
513 REYNOLDS AVE, BRONX, NY 10465-3619
(718) 866-3520
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018578
NY
Other
Enumeration date
05/18/2010
Last updated
06/17/2021
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