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1265655419
MICHAEL A CIVIN
BRONX, NY
NPI
1265655419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 010129)
Additional Taxonomies
102L00000X Psychoanalyst
Enumeration Date
2007-04-10
Last Update Date
2011-01-03
Business Address
Dr. MICHAEL A CIVIN PhD
696 E 187TH ST 205-208
BRONX, NY 10458-6800
Phone number: 516-641-6358
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Mailing Address
Dr. MICHAEL A CIVIN PhD
696 E 187TH ST 205-208
BRONX, NY 10458-6800
Phone number: 516-641-6358
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