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Contact Information

MARK S CLOSSON, PhD
601 FRANKLIN AVE STE 200
GARDEN CITY, NY11530-5760
 Phone: 516-669-0135
 Fax: 631-754-1642
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK S CLOSSON · (Male)

NPI Number 1841577004
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/15/2011
Last updated 11/15/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 019356
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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