Individual
SIDNEY MACKENZIE FULOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E 10TH ST, #707, NEW YORK, NY 10003-6113
(212) 473-3371
Mailing address
23 E 10TH ST, #707, NEW YORK, NY 10003-6113
(212) 473-3371
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000768
NY
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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