COSMIC PSYCH-MEDX

BROOKLYN, NY
NPI1326649146
Entity TypeOrganization
Authorized ContactHATSHEPSUT NOLENE KISA-DAVIDSON
Chief Clinician
347-465-0684
Organization Subpart ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2020-11-06
Last Update Date2020-11-06
Business Address
COSMIC PSYCH-MEDX
2065 E 54TH ST APT 2
BROOKLYN, NY 11234-4750
Phone number: 347-465-0684
Mailing Address
COSMIC PSYCH-MEDX
PO BOX 260031
BROOKLYN, NY 11226-0031
Phone number: 347-465-0684