Individual
EDMUND N CIESLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3512 QUENTIN RD, BROOKLYN, NY 11234-4231
(800) 275-3243
Mailing address
3512 QUENTIN RD, BROOKLYN, NY 11234-4231
(800) 275-3243
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018767
NY
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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