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Organization
SOUTH SHORE PSYCHOLOGICAL CARE P.C.
Active
Organization
SOUTH SHORE PSYCHOLOGICAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER G D'ELENA PSY.D. (PSYCHOLOGIST-PRESIDENT)
(631) 786-8930
Entity
Organization
Contact information
Practice address
250 MONTAUK HIGHWAY, EAST MORICHES, NY 11940
(631) 786-8930
(631) 874-2824
Mailing address
250 MONTAUK HIGHWAY, EAST MORICHES, NY 11940
(631) 786-8930
(631) 874-2824
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015937
NY
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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