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Individual

DR. DONNA RASIN-WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
38 8TH AVE, BROOKLYN, NY 11217-3907
(718) 623-6291
Mailing address
71 MIDWOOD ST, BROOKLYN, NY 11225-5003
(718) 284-7407
(718) 284-4468

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011164
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01584909
NY
Enumeration date
07/17/2006
Last updated
07/08/2007
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