Organization
EAST END COMPREHENSIVE PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLA ILANI PH.D. (PSYCHOLOGIST)
(646) 873-0088
Entity
Organization
Contact information
Practice address
145 E 27TH ST, SUITE 1-G, NEW YORK, NY 10016-9017
(646) 873-0088
Mailing address
404 E 66TH ST, APT. 4-C, NEW YORK, NY 10065-9308
(646) 873-0088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015913
NY
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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