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Organization

DUFORT PSYCHOLOGICAL SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAWSON DUFORT PHD (OWNER)
(347) 880-2150
Entity
Organization

Contact information

Practice address
401 BLOOMINGDALE RD SUITE 6, STATEN ISLAND, NY 10309
(347) 880-2150
Mailing address
401 BLOOMINGDALE RD STE 6, STATEN ISLAND, NY 10309-2070
(347) 880-2150

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary

Other

Enumeration date
10/24/2017
Last updated
10/24/2017
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