Individual
DR. ELLIOT L JURIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., PH.D.
Contact information
Practice address
96 5TH AVE, SUITE 1C, NEW YORK, NY 10011-7605
(646) 373-2688
Mailing address
96 5TH AVE, SUITE 1C, NEW YORK, NY 10011-7605
(646) 373-2688
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013669
NY
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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