Individual
DR. MARK MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1745 BROADWAY, 17TH FL., NEW YORK, NY 10019-4640
(212) 851-8100
(212) 537-0102
Mailing address
1745 BROADWAY, 17TH FL., NEW YORK, NY 10019-4640
(212) 851-8100
(212) 537-0102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
26095
CA
103TC0700X
Clinical Psychologist
Primary
022043
NY
Other
Enumeration date
07/14/2008
Last updated
05/10/2017
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