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Individual

MARK BUENZLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16 W 10TH ST, CENTER FOR MODERN PSYCHOANALYTIC STUDIES, NEW YORK, NY 10011-8707
(917) 478-0677
Mailing address
294 BRONXVILLE RD, 5G, BRONXVILLE, NY 10708-2850
(917) 478-0677

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000894-1
NY

Other

Enumeration date
05/01/2013
Last updated
05/01/2013
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