| New York Psychological Practice | |
|
979 Lamont Ave Staten Island NY 10309-2207 | |
| (347) 524-4169 | |
| (718) 565-5070 |
| Full Name | New York Psychological Practice |
|---|---|
| Speciality | Psychologist |
| Location | 979 Lamont Ave, Staten Island, New York |
| Authorized Official Name and Position | Virginia Boga (DIRECTOR) |
| Authorized Official Contact | 3475244169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Psychological Practice 979 Lamont Ave Staten Island NY 10309-2207 Ph: (347) 524-4169 | New York Psychological Practice 979 Lamont Ave Staten Island NY 10309-2207 Ph: (347) 524-4169 |
| NPI Number | 1063060887 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063060887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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