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Individual

DR. ELLEN DIMEGLIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
138 W 25TH ST FL 6, SUITE 13, NEW YORK, NY 10001-7405
(646) 957-5394
(866) 868-5562
Mailing address
138 W 25TH ST FL 6, SUITE 13, NEW YORK, NY 10001-7405
(646) 957-5394
(866) 868-5562

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016354
NY

Other

Enumeration date
10/01/2007
Last updated
10/01/2007
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