Individual
EDWARD CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 OLD COUNTRY RD, WESTBURY, NY 11590-5156
(516) 806-6969
Mailing address
269 FRANKLIN BLVD, LONG BEACH, NY 11561-3740
(516) 361-3329
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1341922
NY
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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