Organization
JERRY DUVINSKY PHD LICENSED PSYCHOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY DUVINSKY PH.D. (PRESIDENT)
(607) 754-1101
Entity
Organization
Contact information
Practice address
423 E MAIN ST STE 3, ENDICOTT, NY 13760-6940
(607) 754-1101
(607) 754-1107
Mailing address
423 E MAIN ST STE 3, ENDICOTT, NY 13760-6940
(607) 754-1101
(607) 754-1107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01409512
—
NY
Enumeration date
11/19/2015
Last updated
11/19/2015
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