Individual
MRS. BONNIE HODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW, PSYCHOANALYST
Contact information
Practice address
20 E 68TH ST, SUITE 205, NEW YORK, NY 10065-5844
(212) 772-9055
Mailing address
565 PARK AVE, NEW YORK, NY 10065-7344
(212) 355-1912
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
025850
NY
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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