Individual
GEORGE COOLIDGE NITZBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
329 E 62ND ST, NEW YORK, NY 10065-7769
(212) 838-4333
Mailing address
329 E 62ND ST, NEW YORK, NY 10065-7769
(212) 838-4333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022190-1
NY
Other
Enumeration date
09/11/2011
Last updated
03/01/2019
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