CRAIG BENJAMIN FULLER

NEW YORK, NY
NPI1801125489
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  019953)
Enumeration Date2009-12-10
Last Update Date2013-01-22
Business Address
Mr. CRAIG BENJAMIN FULLER
210 W 70TH ST SUITE 201
NEW YORK, NY 10023-4304
Phone number: 917-300-8742
Mailing Address
Mr. CRAIG BENJAMIN FULLER
308 E 90TH ST APT. 2A
NEW YORK, NY 10128-5146
Phone number: 917-300-8742
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