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Individual

DR. MARY BLANCHE COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
247 E. 82ND STREET, SUITE 3, NEW YORK, NY 10028
(212) 734-3087
Mailing address
247 E. 82ND STREET, SUITE 3, NEW YORK, NY 10028
(212) 734-3087

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
004565
NY
103TH0100X
Health Service Psychologist
Primary
004565
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004655264
AETNA
01
V4702
EMPIRE BCBS
NY
Enumeration date
11/07/2006
Last updated
04/23/2019
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