Individual
DR. ILYSE SPERTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
425 MADISON AVENUE, SUITE 1502, NEW YORK, NY 10017
(646) 942-6712
(914) 698-5571
Mailing address
425 MADISON AVENUE, SUITE 1502, NEW YORK, NY 10017
(646) 942-6712
(914) 698-5571
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
8133543
NY
103TC0700X
Clinical Psychologist
8133543
NY
Other
Enumeration date
03/27/2013
Last updated
11/09/2016
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