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1871712653
J. RYAN FULLER
NEW YORK, NY
NPI
1871712653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 017108)
Enumeration Date
2007-04-24
Last Update Date
2009-08-20
Business Address
-- J. RYAN FULLER Ph.D.
909 THIRD AVE. SUITE 505 NEW YORK BEHAVIORAL HEALTH,
NEW YORK, NY 10022
Phone number: 646-495-3078
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Mailing Address
-- J. RYAN FULLER Ph.D.
909 3RD AVE SUITE 505
NEW YORK, NY 10022-4731
Phone number: 646-495-3078
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