Individual
IVAN AINYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
506 MALCOLM X BLVD, DEPARTMENT OF PSYCHIATRY 9TH FL, NEW YORK, NY 10037-1802
(212) 939-3299
Mailing address
130 MILTON PL, 506 LENOX AVE, SOUTH ORANGE, NJ 07079-2618
(212) 939-3299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010298-1
NY
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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