Individual
DR. MANA SAMGHABADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
411 W 114TH ST, NEW YORK, NY 10025-1710
(212) 523-5578
Mailing address
2817 35TH ST, APT 3, ASTORIA, NY 11103-4655
(516) 551-4975
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021431
NY
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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