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Individual

MS. ORLY MARCOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.

Contact information

Practice address
220 5TH AVE STE 1107, NEW YORK, NY 10001-7708
(917) 658-2087
Mailing address
220 5TH AVE STE 1107, NEW YORK, NY 10001-7708
(917) 658-2087

Taxonomy

Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
19 000976
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000976
PSYCHOANALYST LICENCE
NY
Enumeration date
09/01/2016
Last updated
09/13/2018
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