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1104098946
ALAN DIENSTAG
BRONX, NY
NPI
1104098946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 010176)
Enumeration Date
2008-04-01
Last Update Date
2008-04-01
Business Address
Dr. ALAN DIENSTAG Psy.D.
525 WEST 238TH ST 4J
BRONX, NY 10463-1846
Phone number: 917-301-4622
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Mailing Address
Dr. ALAN DIENSTAG Psy.D.
525 WEST 238TH ST 4J
BRONX, NY 10463-1846
Phone number: 917-301-4622
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