Organization
MN PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NUCCITELLI (MEMBER)
(718) 221-5800
Entity
Organization
Contact information
Practice address
2255 CROPSEY AVE, BROOKLYN, NY 11214-5705
(718) 221-5800
Mailing address
5705 FOSTER AVE, BROOKLYN, NY 11234-1001
(718) 221-5800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
08/09/2024
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