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Organization

LAWRENCE BIRNBACH, PHD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE BIRNBACH PHD (SOLE OPERATOR)
(917) 747-0531
Entity
Organization

Contact information

Practice address
80 E 11TH ST, SUITE 312, NEW YORK, NY 10003-6811
(917) 747-0531
Mailing address
23 E 10TH ST, APT 212, NEW YORK, NY 10003-6113
(917) 747-0531

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6554
NY

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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