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Individual

PATRIA V MARIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
25 E 183RD ST, BRONX, NY 10453-1242
(718) 839-8900
(718) 839-8989
Mailing address
117 WEST 13TH STREET, SUITE 1, NEW YORK, NY 10011
(646) 633-2336
(212) 560-0936

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018028
NY
103T00000X
Psychologist

Other

Enumeration date
03/28/2006
Last updated
05/05/2011
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