Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 68 020609 | NY |
NPI | 1063876092 |
---|---|
Provider Name | Dr. Lucinda Bratini |
First Address | Bronx, NY 10463-2712 |
Second Address | Bronx, NY 10468 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2016 |
Last Update Date | 06/04/2016 |