Organization
QUEENS COGNITIVE BEHAVIORAL THERAPY PSYCHOLOGY, PLLC
Active
Other names
Queens CBT Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ZVI GRYSMAN PH.D. (OWNER/DIRECTOR)
(347) 815-4228
Entity
Organization
Contact information
Practice address
14108 JEWEL AVE, FLUSHING, NY 11367-1618
(347) 815-4228
(347) 402-8186
Mailing address
14108 JEWEL AVE, FLUSHING, NY 11367-1618
(347) 815-4228
(347) 402-8186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003047
NY
103T00000X
Psychologist
Primary
019732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P5268379
UNITED HEALTH CARE OXFORD
NY
Enumeration date
06/13/2017
Last updated
07/21/2022
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