Individual
DR. IRWIN JAY REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1075 50TH STREET, BROOKLYN,NEW YORK APT. R, BROOKLYN, NY 11219-3133
(718) 986-4040
Mailing address
37 WHITEHALL RD, ROCKVILLE CENTRE, NY 11570-3243
(718) 986-4040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010993
NY
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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