Individual
DR. ALAN CARL TENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
755 WAVERLY AVE, SUITE 303, HOLTSVILLE, NY 11742-1190
(631) 474-7190
Mailing address
106 ALICE ST, PORT JEFFERSON, NY 11777-2006
(631) 697-3212
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68018811
NY
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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