Individual
DR. KATE FODASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
156 5TH AVE, SUITE 612, NEW YORK, NY 10010-7002
(212) 633-0269
Mailing address
156 5TH AVE, SUITE 612, NEW YORK, NY 10010-7002
(212) 633-0269
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018867-1
NY
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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