Individual
DR. JERRY DAVID DUVINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
804 VALLEY PLZ, JOHNSON CITY, NY 13790-1009
(607) 797-1100
(607) 797-9514
Mailing address
804 VALLEY PLZ, JOHNSON CITY, NY 13790-1009
(607) 797-1100
(607) 797-9514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0103631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01409512
—
NY
Enumeration date
11/14/2006
Last updated
07/08/2007
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