Individual
DR. MATTHEW ALAN KRIVOSHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
775 PARK AVE, SUITE 110#9, HUNTINGTON, NY 11743-3976
(631) 630-4620
(631) 754-3654
Mailing address
20 ASHFORD LN, HUNTINGTON, NY 11743-4874
(631) 630-4620
(631) 754-3654
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014389
NY
103TS0200X
School Psychologist
014389
NY
Other
Enumeration date
07/08/2005
Last updated
06/19/2008
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