Individual
DR. MARC BOGORAD REHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
140 RIVERSIDE DR, SUITE 1R, NEW YORK, NY 10024-2605
(212) 875-0516
Mailing address
140 RIVERSIDE DR, SUITE 1R, NEW YORK, NY 10024-2605
(212) 875-0516
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009224
NY
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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