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Organization
MINDFUL PATH PSYCHOLOGY, P.C.
Active
Organization
MINDFUL PATH PSYCHOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F ATANASIO III PSYD (PRESIDENT)
(862) 216-8398
Entity
Organization
Contact information
Practice address
7210 112TH ST OFC B, FOREST HILLS, NY 11375-5467
(862) 216-8398
(718) 873-2089
Mailing address
7210 112TH ST OFC B, FOREST HILLS, NY 11375-5467
(862) 216-8398
(718) 873-2089
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021836
NY
103TF0200X
Forensic Psychologist
021836
NY
103TP2701X
Group Psychotherapy Psychologist
021836
NY
Other
Enumeration date
06/13/2018
Last updated
06/21/2022
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