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Individual

DR. LOLA D. NOURYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D. PSYCHOLOGIST

Contact information

Practice address
520 FRANKLIN AVE STE 122, GARDEN CITY, NY 11530-5814
(516) 747-1868
Mailing address
100 HILTON AVE, UNIT 509, GARDEN CITY, NY 11530-1564
(516) 747-1868
(516) 747-1755

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
005083
NY
103TB0200X
Cognitive & Behavioral Psychologist
005083
NY

Other

Enumeration date
03/21/2007
Last updated
12/07/2018
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