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Individual

MR. JEROLD DAVID NASHBAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LP

Contact information

Practice address
522 E 20TH ST, 3F, NEW YORK, NY 10009-8319
(646) 649-2127
Mailing address
522 E 20TH ST, 3F, NEW YORK, NY 10009-8319
(646) 649-2127

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000388
NY

Other

Enumeration date
11/20/2010
Last updated
11/20/2010
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