Individual
DOMINICK AUCIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
577 1ST AVE, NEW YORK, NY 10016-6404
(212) 263-6567
Mailing address
577 1ST AVE, NEW YORK, NY 10016-6404
(212) 263-6567
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
015116
NY
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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