Individual
ANDREA BARBARA KISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BELAIR DR, OLD BETHPAGE, NY 11804-1403
(567) 377-5898
Mailing address
4 BELAIR DR, OLD BETHPAGE, NY 11804-1403
(567) 377-5898
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023696
NY
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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