Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 005291-1 | NY |
NPI | 1043629967 |
---|---|
Provider Name | Orsolya Varkonyi |
First Address | New York, NY 10024-5255 |
Second Address | New York, NY 10024-5255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2014 |
Last Update Date | 05/08/2014 |