Individual
DR. GAIL BRADBARD BARUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8225 164TH ST, JAMAICA, NY 11432-1120
(718) 374-0002
(718) 380-3214
Mailing address
8115 164TH ST, JAMAICA, NY 11432-1118
(718) 380-3000
(718) 380-3214
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
55481
NY
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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