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Individual

DR. KEVIN MCGOVERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2534 STEINWAY ST, ASTORIA, NY 11103-3702
(718) 777-5243
(718) 777-5250
Mailing address
291 RADIO AVE, MILLER PLACE, NY 11764-3528
(631) 278-9160
(718) 777-5250

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1277625923
NY

Other

Enumeration date
03/01/2007
Last updated
07/08/2007
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