Organization
DR. FRED KRELLENSTEIN, PSYCHOLOGIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED KRELLENSTEIN (PRESIDENT)
(516) 921-3943
Entity
Organization
Contact information
Practice address
8 HOLLY DR, SYOSSET, NY 11791-5718
(516) 921-3943
(516) 682-8210
Mailing address
8 HOLLY DR, SYOSSET, NY 11791-5718
(516) 921-3943
(516) 682-8210
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00872835
—
NY
Enumeration date
04/09/2012
Last updated
07/17/2013
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