# K MARK SOSSIN PHD & JAN CHARONE-SOSSIN PHD, CLINICAL PSYCHOLOGISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629593298
- **Authorized official:** DR. K MARK SOSSIN PHD (PRESIDENT)
- **Authorized official phone:** (516) 326-2401

## Contact information

- **Practice address:** 1893 STEWART AVE, NEW HYDE PARK, NY 11040
- **Practice address phone:** (516) 326-2401
- **Practice address fax:** (516) 326-6973
- **Mailing address:** 1893 STEWART AVE, NEW HYDE PARK, NY 11040-1623
- **Mailing address phone:** (516) 326-2401
- **Mailing address fax:** (516) 326-6973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | 007223 | NY | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 007228 | NY | Yes |

## Other

- **Enumeration date:** 08/04/2017
- **Last updated:** 07/21/2022