Individual
DR. DEBORAH RUTH BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
275 W 96TH ST APT 8Q, NEW YORK, NY 10025-6270
(212) 678-4758
Mailing address
275 W 96TH ST APT 8Q, NEW YORK, NY 10025-6270
(212) 678-4758
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430831
—
NY
Enumeration date
07/07/2006
Last updated
02/22/2008
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