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1235145228
CHARLES MIEZEJESKI
NEW YORK, NY
NPI
1235145228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 6368)
Enumeration Date
2006-07-31
Last Update Date
2021-11-11
Business Address
CHARLES MIEZEJESKI Ph.D.
1745 BROADWAY 17 FL
NEW YORK, NY 10019-4640
Phone number: 212-851-8100
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Mailing Address
CHARLES MIEZEJESKI Ph.D.
556 COLLEGE AVE
STATEN ISLAND, NY 10302-2510
Phone number: 718-744-5941
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