Individual
DR. ARCHANA BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
635 W 165TH ST, ROOM 635, NEW YORK, NY 10032-3724
(212) 305-0044
Mailing address
635 W 165TH ST, ROOM 635, NEW YORK, NY 10032-3724
(212) 305-0044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019346
NY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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