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344 E 59th St Fl 2 New York NY 10022-1593 | |
| (562) 431-9293 | |
| (562) 685-0413 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 344 E 59th St Fl 2, New York, New York |
| Authorized Official Name and Position | Ivy Dimas (BILLING SPECIALIST) |
| Authorized Official Contact | 2244229760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
200 Marina Dr Seal Beach CA 90740-6023 Ph: (562) 431-9293 | 344 E 59th St Fl 2 New York NY 10022-1593 Ph: (562) 431-9293 |
| NPI Number | 1326716317 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326716317 | NPI | - | NPPES |
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