Individual
DR. ILYSA RACHEL MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
1020 PARK AVE, APARTMENT 4, HOBOKEN, NJ 07030-4336
(201) 526-4223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017724
NY
Other
Enumeration date
07/23/2008
Last updated
07/25/2008
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