Organization
JEFFREY KASSINOVE, PSYCHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KASSINOVE (PSYCHOLOGIST)
(212) 580-0080
Entity
Organization
Contact information
Practice address
175 W 79TH ST, SUITE 1A, NEW YORK, NY 10024-6450
(212) 580-0080
Mailing address
37 W 65TH ST FL 5, NEW YORK, NY 10023-6610
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014602
NY
Other
Enumeration date
06/27/2008
Last updated
07/18/2024
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