JACOB ETHAN SMALL

NEW YORK, NY
NPI1528087855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: NY  0156821)
Enumeration Date2006-07-18
Last Update Date2008-04-29
Business Address
-- JACOB ETHAN SMALL Ph.D.
286 MADISON AVENUE SUITE 1602
NEW YORK, NY 10017
Phone number: 917-704-3761
Mailing Address
-- JACOB ETHAN SMALL Ph.D.
286 MADISON AVENUE SUITE 1602
NEW YORK, NY 10017
Phone number: 917-704-3761
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