| Jessica Koblenz, Psyd, Pllc | |
|
3801 23rd Ave Ste 306 Astoria NY 11105-1978 | |
| (516) 725-5551 | |
| Not Available |
| Full Name | Jessica Koblenz, Psyd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3801 23rd Ave Ste 306, Astoria, New York |
| Authorized Official Name and Position | Jessica Koblenz (PSYCHOLOGIST III) |
| Authorized Official Contact | 5167255551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Koblenz, Psyd, Pllc 3801 23rd Ave Ste 306 Astoria NY 11105-1978 Ph: () - | Jessica Koblenz, Psyd, Pllc 3801 23rd Ave Ste 306 Astoria NY 11105-1978 Ph: (516) 725-5551 |
| NPI Number | 1235773086 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 11/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235773086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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