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Organization
SH GERIATRIC PSYCHOLOGICAL SERVICES P.C .
Active
Organization
SH GERIATRIC PSYCHOLOGICAL SERVICES P.C .
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN J HALL (PHYCHOLOGIST)
(718) 268-6600
Entity
Organization
Contact information
Practice address
125 OCEAN AVE, LYNBROOK, NY 11563-1900
(516) 858-2665
Mailing address
118-35 QUEENS BLVD, SUITE 1403, FOREST HILLS, NY 11375-7205
(718) 265-6600
(718) 265-6065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015238-1
NY
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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