Organization
JANI L. KLEBANOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANI L. KLEBANOW PH.D. (PSYCHOLOGIST)
(917) 763-3232
Entity
Organization
Contact information
Practice address
19 W 34TH ST, PH SUITE, NEW YORK, NY 10001-3006
(917) 763-3232
(212) 239-0948
Mailing address
19 W 34TH ST, PENTHOUSE SUITE, NEW YORK, NY 10001-3006
(917) 763-3232
(212) 239-0948
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011039-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01405114
—
NY
01
—
1124054267
NPI NUMBER
NY
Enumeration date
02/10/2014
Last updated
02/10/2014
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