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Organization

LONG ISLAND GERIATRIC PSYCHOLOGICAL SERVICES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN J HALL PH.D. (PRESIDENT)
(718) 268-6600
Entity
Organization

Contact information

Practice address
118-35 QUEENS BLVD, SUITE 1403, FOREST HILLS, NY 11375-7205
(718) 268-6600
Mailing address
118-35 QUEENS BLVD, SUITE 1403, FOREST HILLS, NY 11375-7205
(718) 268-6600

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015238-1
NY

Other

Enumeration date
05/21/2013
Last updated
05/21/2013
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