Organization
COMMACK CONSULTATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN KAUFMAN MA (OWNER/MANAGER)
(631) 543-8577
Entity
Organization
Contact information
Practice address
66 HARNED RD, COMMACK, NY 11725-3527
16315438577
Mailing address
66 HARNED RD, COMMACK, NY 11725-3527
16315438577
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008998
NY
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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