Individual
IDA PIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 PROSPECT PARK WEST, BROOKLYN, NY 11215
(347) 335-0165
Mailing address
4294 OCEAN AVENUE, BROOKLYN, NY 11235
(347) 852-3800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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