Mark Gillette Lundeen PH D

NPI 1457459414 - Psychologist - 103TC0700X

NPI Details
NPI 1457459414
Gender Male
Enumeration Date 09/20/2006
Last Updated 10/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
121 EAST 60TH STREET
SUITE 2A
NEW YORK NY, 10022-1186, US
Phone (212) 355-7457
Fax
Business Location
121 EAST 60TH STREET
SUITE 2A
NEW YORK NY, 10022-1186, US
Phone (212) 355-7457
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State New York
License Number 011341
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According to our database, Dr. Mark Gillette Lundeen PH D NPI is 1457459414, taxonomy code is 103TC0700X and license number is 011341, license state is located at New York. Mark Gillette Lundeen PH D physically located at 121 East 60th Street, New York NY, 10022-1186. NPI Number Mark Gillette Lundeen PH D has the Individual type.

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1457459414 NPI number is provided on an as is basis without warranty of any kind. 1457459414 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Gillette Lundeen PH D are for informational purposes only.