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1902158538
MAYIMUNA Y PETTIFORD
NEW YORK, NY
NPI
1902158538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 019680)
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
-- MAYIMUNA Y PETTIFORD Ph.D.
214 W HOUSTON ST
NEW YORK, NY 10014-4846
Phone number: 212-337-9400
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Mailing Address
-- MAYIMUNA Y PETTIFORD Ph.D.
303 MERRICK RD SUITE 204
LYNBROOK, NY 11563-2501
Phone number: 800-725-6280
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