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Organization
QUEENS NEUROPSYCHOLOGICAL AND BEHAVIORAL SERVICES
Active
Organization
QUEENS NEUROPSYCHOLOGICAL AND BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA LEE PH.D. (DIRECTOR)
(646) 389-2283
Entity
Organization
Contact information
Practice address
25418 NORTHERN BLVD STE 3, LITTLE NECK, NY 11362-1451
(646) 389-2283
Mailing address
25418 NORTHERN BLVD STE 3, LITTLE NECK, NY 11362-1451
(646) 389-2283
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
022457
NY
103TB0200X
Cognitive & Behavioral Psychologist
022457
NY
103TC0700X
Clinical Psychologist
Primary
022457
NY
103TC1900X
Counseling Psychologist
022457
NY
Other
Enumeration date
02/01/2018
Last updated
02/22/2018
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