Individual
DR. JEAN PETRUCELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
470 W END AVE # 1AA, NEW YORK, NY 10024-4933
(212) 724-9447
(212) 724-6269
Mailing address
470 W END AVE # 1AA, NEW YORK, NY 10024-4933
(212) 724-9447
(212) 724-6269
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
103TC0700X
Clinical Psychologist
Primary
009736-1
NY
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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