Individual
EDWARD DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
910 W END AVE, 1C, NEW YORK, NY 10025-3533
(212) 851-8100
(212) 932-0934
Mailing address
2601 24TH AVE, 2A, ASTORIA, NY 11102-2337
(718) 216-6664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
16405
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02812173
—
NY
Enumeration date
08/11/2006
Last updated
02/06/2008
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