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Individual

CHAYA M GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1230 CAFFREY AVE, FAR ROCKAWAY, NY 11691-5260
(347) 351-4590
Mailing address
1230 CAFFREY AVE APT 3, FAR ROCKAWAY, NY 11691-5260

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
1485940211
NY
174400000X
Specialist
Primary
1485940211
NY

Other

Enumeration date
07/29/2021
Last updated
02/11/2022
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