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Contact Information

DUFORT PSYCHOLOGICAL SERVICES PLLC
401 BLOOMINGDALE RD SUITE 6
STATEN ISLAND, NY10309
 Phone: 347-880-2150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DUFORT PSYCHOLOGICAL SERVICES PLLC

NPI # 1053822544
LBN Legal business name DUFORT PSYCHOLOGICAL SERVICES PLLC
Authorized official DAWSON DUFORT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2017
Last updated 10/24/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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