| Leanne Domash, Ph.d., P.c. | |
|
77 E 12th St #19d New York NY 10003-5002 | |
| (212) 982-6672 | |
| Not Available |
| Full Name | Leanne Domash, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 77 E 12th St, New York, New York |
| Authorized Official Name and Position | Leanne Domash (PRESIDENT) |
| Authorized Official Contact | 2129826672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leanne Domash, Ph.d., P.c. 77 E 12th St #19d New York NY 10003-5002 Ph: (212) 982-6672 | Leanne Domash, Ph.d., P.c. 77 E 12th St #19d New York NY 10003-5002 Ph: (212) 982-6672 |
| NPI Number | 1114187390 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114187390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | #4388 (New York) | Primary |
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