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Organization
VEGA A. LALIRE PSYCHOLOGIST P.C.
Active
Organization
VEGA A. LALIRE PSYCHOLOGIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VEGA A LALIRE PHD (PRESIDENT)
(845) 615-1004
Entity
Organization
Contact information
Practice address
261 GREENWICH AVE, GOSHEN, NY 10924-2028
(845) 615-1004
(845) 615-1029
Mailing address
261 GREENWICH AVE, P.O. BOX 1026, GOSHEN, NY 10924-2028
(845) 615-1004
(845) 615-1029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508953811
INDIVIDUAL NPI
—
Enumeration date
11/25/2014
Last updated
11/25/2014
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