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Contact Information

PSYCHOLOGICAL WELLNESS OF NEW YORK, P.C.
2100 DEER PARK AVE STE 7
DEER PARK, NY11729-2119
 Phone: 800-528-0135
 Fax: 800-528-0135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PSYCHOLOGICAL WELLNESS OF NEW YORK PC · (Female)

NPI # 1861995201
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2018
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 017045
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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