Individual
KATHERINE MARNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.Y.S. LICENSES PSYC
Contact information
Practice address
175 EAST 96 STREET, (APT 15K), NEW YORK, NY 10128
(212) 534-3332
Mailing address
175 EAST 96 STREET, (APT 15K), NEW YORK, NY 10128
(212) 534-3332
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000085
NY
102L00000X
Psychoanalyst
098000102
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN1843534
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCPSYA P90165
PSYCHOANALYST
NY
Enumeration date
04/04/2007
Last updated
02/20/2012
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