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Individual

DANA JERUSALMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 DOCK ST, YONKERS, NY 10701-2733
(914) 949-7680
Mailing address
35 DOCK ST, YONKERS, NY 10701-2733

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285628552
EMPLOYER'S NPI
NY
Enumeration date
09/29/2016
Last updated
12/01/2016
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