Organization
AG CHILD AND ADULT PSYCHOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALENA GROMOVA PHD (DIRECTOR)
(718) 873-6678
Entity
Organization
Contact information
Practice address
400 S OYSTER BAY RD, STE 204, HICKSVILLE, NY 11801-3500
(516) 818-8383
Mailing address
2 KEEN CT, BROOKLYN, NY 11229-6056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0210021
NY
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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