Individual
BRIAN MICHAEL IACOVIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
156 5TH AVE, SUITE 1200, NEW YORK, NY 10010-7002
(646) 719-0237
Mailing address
1785 AMSTERDAM AVE, APT 4F, NEW YORK, NY 10031-3550
(267) 934-5533
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018999
NY
Other
Enumeration date
04/07/2008
Last updated
05/18/2012
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