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NPI Code Detail

MEDICARE: VERONICA KING PHD

MEDICARE: VERONICA KING PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11477385946OTHERNYNPPES

General Provider Information

NPI Number : 1750856506
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA KING PHD
Provider Business Mailing Address
First Line : 362 DEVOE AVE UNIT 473
Second Line :
City : BRONX
State : NY
Zip : 10460-9448
Country : US
Telephone Number : 914-269-8882
Fax Number :
Provider Business Practice Location Address
First Line : 362 DEVOE AVE UNIT 473
Second Line :
City : BRONX
State : NY
Zip : 10460-9448
Country : US
Telephone Number : 914-269-8882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2018
Last Update Date : 08/29/2024

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Directions to “ VERONICA KING PHD” Practice Location

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