Individual
DR. JEANINE PIROZZI BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
41 PARK AVE, SUITE 1H, NEW YORK, NY 10016-3483
(201) 230-2513
Mailing address
41 PARK AVE, SUITE 1H, NEW YORK, NY 10016-3483
(201) 230-2513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018511
NY
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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