Organization
BRONX INDIVIDUAL & FAMILY PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA LYDIA VAYAS PSY.D (MANAGING MEMBER (PSYCHOLOGIST))
(917) 801-1199
Entity
Organization
Contact information
Practice address
22 E KINGSBRIDGE RD, BRONX, NY 10468-7596
(917) 801-1199
(917) 801-1198
Mailing address
22 E KINGSBRIDGE RD, BRONX, NY 10468-7596
(917) 801-1199
(917) 801-1198
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
102065
NY
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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