Individual
DR. MARK JEFFREY BIBLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
368 S OYSTER BAY RD, HICKSVILLE, NY 11801-3508
(516) 681-0814
Mailing address
34 RADCLIFF DR, HUNTINGTON, NY 11743-2649
(631) 351-4725
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
011161
NY
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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