Individual
MADALINA YELLICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
35 DOCK ST, YONKERS, NY 10701-2733
(631) 901-2103
Mailing address
916 HAWKINS AVE, LAKE GROVE, NY 11755-1627
(631) 901-2103
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023520
NY
Other
Enumeration date
05/23/2017
Last updated
11/17/2019
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