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Contact Information

PHYLLIS KOSSAK, PHD
31 POLLY DRIVE
HUNTINGTON, NY11743
 Phone: 631-423-1535
 Fax: 631-351-0445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PHYLLIS KOSSAK · (Female)

NPI # 1245397918
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 006747
  • NY Medicaid 01354094
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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