Individual
DR. IVY J FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, BCBA-D
Contact information
Practice address
1171 E 83RD ST, BROOKLYN, NY 11236-4703
(347) 262-8784
Mailing address
1171 E 83RD ST, BROOKLYN, NY 11236-4703
(347) 262-8784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014689
NY
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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