Individual
OLIVIER SERGE YVAN LETANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 W 30TH ST, NEW YORK, NY 10001-4406
(718) 717-2682
Mailing address
620 WILSON AVE # 55, BROOKLYN, NY 11207-2175
(718) 717-2682
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
1141
NY
Other
Enumeration date
06/03/2022
Last updated
06/19/2024
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