Individual
DR. ISAIAH PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4601
Mailing address
140 MADISON ST, 3, BROOKLYN, NY 11216-1995
(202) 256-0679
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020078
NY
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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