Individual
DR. ALI MATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 COLUMBUS CIRCLE, SUITE 1425, NEW YORK, NY 10019-1903
(212) 246-5744
Mailing address
1775 BROADWAY STE 1425, NEW YORK, NY 10019-1916
(212) 246-5792
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020357
NY
Other
Enumeration date
09/08/2010
Last updated
11/27/2013
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