Individual
JAMES DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
527 6TH AVE, BROOKLYN, NY 11215-4908
(718) 638-4824
Mailing address
527 6TH AVE, BROOKLYN, NY 11215-4908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009469
NY
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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