Individual
DR. PHYLLIS NANCY KIVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
110 AUDLEY STREET, KEW GARDENS, NY 11415
(718) 441-5131
(718) 441-2324
Mailing address
110 AUDLEY STREET, KEW GARDENS, NY 11415
(718) 441-5131
(718) 441-2324
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0052331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00897883
—
NY
Enumeration date
11/22/2006
Last updated
10/21/2011
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