Individual
PETER GEVISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT/MCP
Contact information
Practice address
275 7TH AVE, SUITE 2501, NEW YORK, NY 10001-6708
(347) 387-4024
Mailing address
275 7TH AVE, SUITE 2501, NEW YORK, NY 10001-6708
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001102
NY
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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