Individual
DR. LEE GEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
444 COMMUNITY DR, SUITE 306, MANHASSET, NY 11030-3820
(516) 365-6533
Mailing address
444 COMMUNITY DRIVE, SUITE 306, MANHASSET, NY 11030-3820
(516) 365-6533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6614
NY
103TC0700X
Clinical Psychologist
Primary
006614
NY
103TP0814X
Psychoanalysis Psychologist
6614
NY
103TP2701X
Group Psychotherapy Psychologist
6614
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071646
GHI
NY
05
—
01602684
—
NY
01
—
103281000
MAGELLAN HEALTH SERVICES
NY
Enumeration date
11/08/2006
Last updated
10/27/2015
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