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NPI Code Detail

MEDICARE: DR. NORMA I COFRESI PH.D.

MEDICARE:  DR. NORMA I COFRESI  PH.D.
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
1103TC0700XClinical Psychologist017096-1NY

General Provider Information

NPI Number : 1265525661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORMA I COFRESI PH.D.
Provider Business Mailing Address
First Line : 9 FORDHAM HILL OVAL
Second Line : APT 5E
City : BRONX
State : NY
Zip : 10468-4813
Country : US
Telephone Number : 917-828-1497
Fax Number :
Provider Business Practice Location Address
First Line : 251 FORT WASHINGTON AVE
Second Line : APT 1
City : NEW YORK
State : NY
Zip : 10032-1228
Country : US
Telephone Number : 917-828-1497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 12/10/2009

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Directions to “ DR. NORMA I COFRESI PH.D.” Practice Location

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