Individual
DR. MEREDITH JOSEPHINE BONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
530 BROADWAY, 4TH FLOOR, NEW YORK, NY 10012-3920
(212) 337-3565
(212) 897-3717
Mailing address
530 BROADWAY, 4TH FLOOR, NEW YORK, NY 10012-3920
(212) 337-3565
(212) 897-3717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019620
NY
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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