Aimee Radom, PhD
Psychologist in New York, NY. Individual provider (NPI-1).
NPI number1124440425
StatusActive
Last updated in NPPESJan 6, 2014
Details
- NPI
- 1124440425
- Entity type
- Individual (NPI-1)
- Name
- Aimee Radom
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2014
- Last updated
- Jan 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 020396 | NY | Yes |
Practice location
441 W End AveSuite 1g
New York, NY 10024-5326
Phone 212-729-7222
Mailing address
50 W 96th StApt. 1c
New York, NY 10025-6526
Phone 212-729-7222
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