Individual
WILLO WISOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
35 CROOKED HILL RD, SUITE 203, COMMACK, NY 11725-5415
(631) 804-8830
Mailing address
35 CROOKED HILL RD, COMMACK, NY 11725-5415
(631) 804-8830
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
016173
NY
103TH0004X
Health Psychologist
Primary
016173
NY
Other
Enumeration date
01/14/2009
Last updated
09/06/2018
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