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Individual

DR. GABRIELLE REBECCA SHATAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
120 W 57TH ST, NEW YORK, NY 10019-3320
(212) 632-4740
(212) 632-4534
Mailing address
60 PARK TER W, A33-A34, NEW YORK, NY 10034-1305
(212) 304-1979
(212) 304-1979

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011638-1
NY

Other

Enumeration date
11/16/2006
Last updated
07/08/2007
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