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Contact Information

BONEH G AVIDOR, PSY.D.
10 CIRCLE DR
SHOREHAM, NY11786-1321
 Phone: 631-744-3458
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BONEH G AVIDOR · (Male)

NPI Number 1033203088
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 10/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 013307-1
  • NY Medicaid 01808424
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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