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Organization

RAPOPORT PSYCHOLOGICAL SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSICA ZOE RAPOPORT PH.D. (OWNER)
(917) 513-5864
Entity
Organization

Contact information

Practice address
245 W 29TH ST RM 1202, NEW YORK, NY 10001-5227
(917) 216-0510
Mailing address
55 PERRY ST APT 3M, NEW YORK, NY 10014-3252

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1720381437
NPI
NY
Enumeration date
12/16/2019
Last updated
02/03/2020
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