Individual
DR. CHRISTOPHER JOHN YANUSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
65 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1651
(607) 763-6033
(607) 763-6853
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 763-6033
(607) 763-6853
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
016803
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03165762
—
NY
Enumeration date
10/24/2006
Last updated
05/08/2015
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