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1861523631
ALI KHADIVI
BRONX, NY
NPI
1861523631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 011060-1)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- ALI KHADIVI Ph.D.
1276 FULTON AVE 4 SOUTH
BRONX, NY 10456-3402
Phone number: 718-901-8889
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Mailing Address
-- ALI KHADIVI Ph.D.
210 W 101ST ST PH-10
NEW YORK, NY 10025-5059
Phone number: 212-662-4704
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