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Individual

DR. KAREN AIZAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3959 BROADWAY, DEPARTMENT OF PSYCHIATRY (6TH FLOOR), NEW YORK, NY 10032
(646) 877-3924
Mailing address
3959 BROADWAY, DEPARTMENT OF PSYCHIATRY (6TH FLOOR), NEW YORK, NY 10032
(646) 877-3924

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023154
NY
103TB0200X
Cognitive & Behavioral Psychologist
023154
NY
103TC0700X
Clinical Psychologist
023154
NY
103TC2200X
Clinical Child & Adolescent Psychologist
023154
NY
103TF0000X
Family Psychologist
023154
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023154
NYSED PSYCHOLOGIST LICENSE
NY
Enumeration date
08/31/2016
Last updated
12/27/2021
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