Individual
DR. KENNETH WEISSBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
80 5TH AVE SUITE 1004, RM #6, NEW YORK, NY 10011-8018
(917) 579-1943
Mailing address
330 E 71ST ST APT 5H, NEW YORK, NY 10021-5277
(917) 579-1943
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000031
NY
Other
Enumeration date
04/24/2007
Last updated
09/11/2014
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