Organization
JEPHTHA TAUSIG-EDWARDS, PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEPHTHA TAUSIG-EDWARDS PHD (PSYCHOLOGIST)
(212) 595-9348
Entity
Organization
Contact information
Practice address
295 CENTRAL PARK W, SUITE 2, NEW YORK, NY 10024-3008
(212) 595-9348
Mailing address
295 CENTRAL PARK W, SUITE 2, NEW YORK, NY 10024-3008
(212) 595-9348
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
016753-1
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
016753-1
NY
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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