Individual
DR. ILANA KUSTANOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3755 HENRY HUDSON PKWY, APT 6A, BRONX, NY 10463-1535
(347) 920-3036
Mailing address
3755 HENRY HUDSON PKWY, APT 6A, BRONX, NY 10463-1535
(347) 920-3036
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
018417
NY
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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