New York Psychological Practice
Psychologist · Staten Island, NY
At a glance
979 Lamont Ave, Staten Island, NY 10309-2207
NPPES record updated Aug 27, 2019. Public records can lag behind changes at a practice.
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Practice location
979 Lamont AveStaten Island, NY 10309-2207
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Psychologist
- Taxonomy code
- 103T00000X
- Enumeration date
- Aug 27, 2019
- Record updated
- Aug 27, 2019
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Psychologist
103T00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
979 Lamont AveStaten Island, NY 10309-2207
- Phone
- (347) 524-4169
- Fax
- (718) 565-5070
Mailing address
979 LAMONT AVESTATEN ISLAND, NY 103092207
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