| Ernesto Lira De La Rosa Licensed Psychologist Pllc | |
|
352 7th Ave Fl 12a New York NY 10001-5893 | |
| (347) 652-1148 | |
| Not Available |
| Full Name | Ernesto Lira De La Rosa Licensed Psychologist Pllc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 352 7th Ave Fl 12a, New York, New York |
| Authorized Official Name and Position | Ernesto Noam Lira De La Rosa (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3476521148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernesto Lira De La Rosa Licensed Psychologist Pllc 68 Bradhurst Ave Apt 8g New York NY 10039-3310 Ph: () - | Ernesto Lira De La Rosa Licensed Psychologist Pllc 352 7th Ave Fl 12a New York NY 10001-5893 Ph: (347) 652-1148 |
| NPI Number | 1356018790 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356018790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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