Organization
LENA ADDO, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA ADDO PH.D (EXECUTIVE DIRECTOR)
(917) 755-6976
Entity
Organization
Contact information
Practice address
621 GATES AVENUE, BROOKLYN, NY 11221-1243
(917) 755-6976
Mailing address
621 GATES AVEUNE, BROOKLYN, NY 11221-1243
(917) 755-6976
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02064340
—
NY
Enumeration date
11/29/2007
Last updated
11/29/2007
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