Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 021175 | NY |
N | 103TC0700X | Clinical Psychologist | 021175 | NY |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 021175 | NY |
NPI | 1053794271 |
---|---|
Provider Name | Delia Cumba |
First Address | New York, NY 10001-7470 |
Second Address | New York, NY 10001-7470 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2015 |
Last Update Date | 11/01/2021 |