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Individual

DR. MICAELA WIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
135 W 50TH ST, 6TH FLOOR, NEW YORK, NY 10020-1201
(212) 582-9100
Mailing address
483 CLERMONT AVE FL 3, BROOKLYN, NY 11238-2253
(267) 218-2865

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
021591
NY

Other

Enumeration date
09/03/2012
Last updated
10/18/2024
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