Organization
JAY S. KWAWER, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY S. KWAWER PH.D. (PRESIDENT)
(212) 799-3083
Entity
Organization
Contact information
Practice address
490 W END AVE, SUITE 1-E, NEW YORK, NY 10024-4329
(212) 799-3083
(815) 366-9081
Mailing address
490 W END AVE, SUITE 1-E, NEW YORK, NY 10024-4330
(212) 799-3083
(815) 366-9081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4237
NY
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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