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Organization
RESTART PSYCHOLOGICAL SERVICES PC
Active
Organization
RESTART PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULIYA VAYNRUB (OFFICE MANAGER)
(917) 657-0290
Entity
Organization
Contact information
Practice address
821 NEWBURG AVE, VALLEY STREAM, NY 11581-3107
(917) 657-0290
Mailing address
821 NEWBURG AVE, VALLEY STREAM, NY 11581-3107
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
NULL
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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