Individual
MR. JAIME INCLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
85 5TH AVE, SUITE 901, NEW YORK, NY 10003-3019
(212) 741-3448
Mailing address
119 MORTON ST APT GB, NEW YORK, NY 10014-3352
(212) 924-7621
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006997
NY
Other
Enumeration date
07/24/2006
Last updated
05/11/2009
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