Jessica Koblenz, Psyd, Pllc

NPI #1235773086 in Astoria, New York

Provider Information

NPI Number: 1235773086
Entity Type: Organization
Organization Name: Jessica Koblenz, Psyd, Pllc
Primary Specialty: Psychologist
Enumeration Date: Nov 5, 2019
Last Updated: Nov 5, 2019

Practice Location

Address: 3801 23RD AVE STE 306
City: Astoria
State: New York
ZIP Code: 11105-1978
Phone: (516) 725-5551

Authorized Official

Name: JESSICA KOBLENZ, PSYD
Title: PSYCHOLOGIST III
Phone: (516) 725-5551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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