Wijaya, Marcella

Wijaya, Marcella is an sole proprietor health care provider with primary practice located at 1651 3Rd Ave Suite 205, New York NY 10128. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Wijaya, Marcella can be contacted via phone (212) 427-7070.

Contact Information

Primary practice address
1651 3Rd Ave Suite 205 New York NY 10128
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 001099-01 New York

Profile Details

NPI number 1841960622
LBN Legal business name Wijaya, Marcella
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2021
Last updated Sep 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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