Individual
DR. MARCIA B KIMELDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-8498
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-8498
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018573
NY
Other
Enumeration date
02/07/2011
Last updated
03/22/2018
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