Shibani Ray-mazumder | |
250 E 30th St Apt 9a New York NY 10016-8298 | |
(631) 786-9312 | |
Not Available |
Full Name | Shibani Ray-mazumder |
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Speciality | Community/behavioral Health |
Location | 250 E 30th St Apt 9a, New York, New York |
Authorized Official Name and Position | Shibani Ray-mazumder (CLINICAL PSYCHOLOGIST/DIRECTOR) |
Authorized Official Contact | 6317869312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shibani Ray-mazumder 466 W 153rd St New York NY 10031-1101 Ph: (631) 786-9312 | Shibani Ray-mazumder 250 E 30th St Apt 9a New York NY 10016-8298 Ph: (631) 786-9312 |
NPI Number | 1568904639 |
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Provider Enumeration Date | 11/07/2016 |
Last Update Date | 09/08/2020 |
Certification Date | 08/25/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568904639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TH0004X | Psychologist - Health | 020691-1 (New York) | Secondary |
251S00000X | Community/behavioral Health | 02069-1 (New York) | Primary |
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