Individual
DR. PHYLLIS W PALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
125 RIVERSIDE DR, SUITE 1E, NEW YORK, NY 10024-3710
(646) 265-8570
Mailing address
125 RIVERSIDE DR, SUITE 1E, NEW YORK, NY 10024-3710
(646) 265-8570
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2960
NJ
103T00000X
Psychologist
7825
NY
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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