Therapeutic Resources

Specialty details in registry · Lic, NY

Call (212) 529-9780 Directions

At a glance

36-36 33Rd Street Suite 500, Lic, NY 11106

NPPES record updated Aug 21, 2013. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

36-36 33Rd Street Suite 500
Lic, NY 11106

Professional details: NPI, taxonomy & registry record

NPI1730513177

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 252Y00000X
Enumeration date: Aug 21, 2013
Record updated: Aug 21, 2013

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

252Y00000X · Primary

License reported: 022959-1 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

36-36 33Rd Street Suite 500
Lic, NY 11106

Phone: (212) 529-9780

Mailing address

541 EAST 20TH STREET
APT 4B
NEW YORK, NY 10010

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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