Individual
DR. ETHEL CWIBEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
999 CENTRAL AVE, WOODMERE, NY 11598-1205
(646) 872-0986
Mailing address
761 CENTRAL AVE, WOODMERE, NY 11598-2636
(646) 872-0986
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013443
NY
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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