Organization
KIRSTEN CULLEN SHARMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVIL RAJ SHARMA PSY.D. (ADMINISTRATOR)
(646) 202-2612
Entity
Organization
Contact information
Practice address
41 MADISON AVE, SUITE 2533, NEW YORK, NY 10010-2202
(646) 202-2612
Mailing address
41 MADISON AVE, SUITE 2533, NEW YORK, NY 10010-2202
(646) 202-2612
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68018267
NY
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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