Individual
AVYTAL RUTH IZAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
135 E 50TH ST APT 103, NEW YORK, NY 10022-7517
(212) 592-1855
Mailing address
135 E 50TH ST APT 103, NEW YORK, NY 10022-7517
(212) 592-1855
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015221
NY
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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