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1043986664
LARISSA PORTNOFF
NEW YORK, NY
NPI
1043986664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 110582-01)
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
LARISSA PORTNOFF
37 W 20TH ST
NEW YORK, NY 10011-3706
Phone number: 212-256-1659
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Mailing Address
LARISSA PORTNOFF
37 W 20TH ST
NEW YORK, NY 10011-3706
Phone number: 212-256-1659
Copy
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