Individual
DR. JASON KRELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP-CN
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(646) 426-3876
(212) 305-1145
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(646) 426-3876
(212) 305-1145
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
019043
NY
Other
Enumeration date
11/01/2011
Last updated
02/13/2018
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