Individual
DR. KAREN WEISS BANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
303 5TH AVE RM 1107, NEW YORK, NY 10016-6668
(212) 989-5480
Mailing address
PO BOX 944, QUOGUE, NY 11959-0944
(914) 649-2715
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005535
NYS LICENSE
NY
Enumeration date
11/30/2021
Last updated
11/30/2021
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