BOOMER PSYCHOLOGICAL SERVICES PC
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1992132963- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 201 E 77TH ST APT 16E, NEW YORK, NY, 100752085
- Phone
- (212) 861-0740
Specialties & Taxonomies
Psychologist, Clinical
Primary License: NY #011975