Organization
NY WELLNESS PSYCHOLOGY PC
Active
Other names
Shibani Ray-Mazumder
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIBANI RAY-MAZUMDER PH.D, SC.D (CLINICAL PSYCHOLOGIST/DIRECTOR)
(631) 786-9312
Entity
Organization
Contact information
Practice address
250 E 30TH ST APT 9A, NEW YORK, NY 10016-8298
(631) 786-9312
Mailing address
466 W 153RD ST, NEW YORK, NY 10031-1101
(631) 786-9312
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
020691-1
NY
251S00000X
Community/Behavioral Health Agency
Primary
02069-1
NY
Other
Enumeration date
11/07/2016
Last updated
09/08/2020
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