Milestones Psychology Group PLLC
Psychologist, Clinical in New York, NY. Organization (NPI-2).
NPI number1982147310
StatusActive
Last updated in NPPESDec 3, 2016
Details
- NPI
- 1982147310
- Entity type
- Organization (NPI-2)
- Legal business name
- Milestones Psychology Group PLLC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2016
- Last updated
- Dec 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 103G00000X | Clinical Neuropsychologist | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
41 Madison Ave Ste 2536New York, NY 10010-2202
Phone 917-482-6782
Mailing address
41 Madison Ave Ste 2536New York, NY 10010-2202
Authorized official
Ravil Sharma
Managing Member
9174826782
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