Organization
LAGOS BIOFEEDBACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH M LAGOS ((PSY. D)
(646) 770-1702
Entity
Organization
Contact information
Practice address
635 MADISON AVE, 4TH FL, NEW YORK, NY 10022-1009
(646) 770-1702
Mailing address
635 MADISON AVE, 4TH FL, NEW YORK, NY 10022-1009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00505100
NY
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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