Individual
JEANETTE E CUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 PARK AVE APT 1K, NEW YORK, NY 10016-3456
(212) 685-5373
(212) 726-0034
Mailing address
40 PARK AVE, SUITE 1K, NEW YORK, NY 10016-3467
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
180828
NY
Other
Enumeration date
04/11/2007
Last updated
07/11/2007
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