Organization
NEW YORK BEHAVIORAL HEALTH PSYCHOLOGICAL OFFICE, PLLC
Active
Other names
NYBHealth
Organization subpart
No
Provider details
NPI number
Authorized official
J FULLER PH.D. (CLINICAL DIRECTOR)
(646) 495-3078
Entity
Organization
Contact information
Practice address
909 3RD AVE, SUITE 505, NEW YORK, NY 10022-4731
(646) 495-3078
Mailing address
909 3RD AVE, SUITE 505, NEW YORK, NY 10022-4731
(646) 495-3078
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
017108
NY
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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