Individual
CARMELA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 W END AVE APT 6A, NEW YORK, NY 10024-1715
(510) 207-4310
Mailing address
585 W END AVE APT 6A, NEW YORK, NY 10024-1715
(510) 207-4310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020837-1
NY
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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