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Individual

DR. SHAHAB MOTAMEDINIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
170 W 73RD ST, LOBBY SUITE, NEW YORK, NY 10023-3006
(646) 783-0880
Mailing address
68 YONKERS AVE, TUCKAHOE, NY 10707-3910

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021755
NY

Other

Enumeration date
08/15/2016
Last updated
11/17/2016
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