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1316017528
ALICE A MEDALIA
BRONX, NY
NPI
1316017528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 007362)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
ALICE A MEDALIA PHD
MMC - DEPT. OF PSYCHIATRY 111 EAST 210TH STREET, KLAU 2
BRONX, NY 10467
Phone number: 718-920-7311
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Mailing Address
ALICE A MEDALIA PHD
6 CLUBWAY
HARTSDALE, NY 10530-3615
Phone number: 718-920-7311
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