Individual
DR. MELISSA ANTIARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
280 N CENTRAL AVE, HARTSDALE, NY 10530-1832
(111) 111-1111
Mailing address
280 N CENTRAL AVE, HARTSDALE, NY 10530-1832
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019023
NY
Other
Enumeration date
01/25/2012
Last updated
05/13/2012
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