Individual
RUSSELL KARKHECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.H.D.
Contact information
Practice address
978 NORTHSIDE PLZ, L-7, POMONA, NY 10970-3521
(845) 627-6114
(845) 627-8404
Mailing address
978 NORTHSIDE PLZ, L-7, POMONA, NY 10970-3521
(845) 627-6114
(845) 627-8404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8213
NY
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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