Individual
DR. CAROLYN SANDRA ELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
140 RIVERSIDE DRIVE, NEW YORK, NY 10024
(212) 799-9509
Mailing address
140 RIVERSIDE DRIVE, NEW YORK, NY 10024
(212) 799-9509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0038261
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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