Individual
JOLIE AVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
150 PARK ROW, NEW YORK, NY 10007-1704
(646) 836-6359
Mailing address
32 BAY 11TH ST, BROOKLYN, NY 11228-3423
(302) 463-7889
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022044
NY
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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