Individual
DR. ANDREW KOLBASOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
55 WATER STREET, NEW YORK, NY 10041
(646) 447-7231
(646) 447-3234
Mailing address
15 BARNEGAT DR, OLD BRIDGE, NJ 08857
(732) 605-9469
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015327-1
NY
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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