Most Relevant Information
Provider Data
| NPI Number: | 1003050626 |
| Provider Name: | MADELINE PERIE GITTLEMAN PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TH0004X |
| Specialty: | Psychologist |
| License Number: | 019247 |
Most Important Dates
| Enumeration Date: | 04/27/2009 |
| Last Updated: | 03/07/2014 |
Provider Practice Location
350 E 17TH ST
BAIRD HALL, ROOM 12
NEW YORK
NY
100033805
Practice Location Phone/Fax
| Phone: | 2128441302 |
| Fax: |
Provider Mailing Location
350 E 17TH ST
BAIRD HALL, ROOM 12
NEW YORK
NY
100033805
Provider Mailing Phone/Fax
| Phone: | 2128441426 |
| Fax: |