Individual
AGNIESZKA SELINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8460 123RD ST, KEW GARDENS, KEW GARDENS, NY 11415-3305
(718) 441-0166
Mailing address
3504 28TH AVE, ASTORIA, ASTORIA, NY 11103-4665
(631) 965-1044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020034
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020034
LICENSE
NY
Enumeration date
03/02/2011
Last updated
07/02/2014
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