Individual
ANU RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
175 JERICHO TPKE STE 213, SYOSSET, NY 11791-4501
(917) 670-8367
Mailing address
175 JERICHO TPKE STE 213, SYOSSET, NY 11791-4501
(917) 670-8367
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015784-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02933686
—
NY
Enumeration date
11/26/2007
Last updated
07/21/2022
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