Organization
PSYCHOLOGICAL POTENTIALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD L SORSCHER M.D. (PRESIDENT)
(516) 625-4446
Entity
Organization
Contact information
Practice address
11 GRACE AVE, STE 300, GREAT NECK, NY 11021-2446
(516) 625-4446
(516) 625-4447
Mailing address
11 GRACE AVE, STE 300, GREAT NECK, NY 11021-2446
(516) 625-4446
(516) 625-4447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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