Organization
PSYCHOLOGY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEROY V. MONROE PH.D. (PSYCHOLOGIST)
(516) 868-3421
Entity
Organization
Contact information
Practice address
865 MERRICK RD, #305, BALDWIN, NY 11510-3338
(516) 868-3421
Mailing address
865 MERRICK RD, #305, BALDWIN, NY 11510-3338
(516) 868-3421
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
008773
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01572229
—
NY
Enumeration date
02/23/2016
Last updated
02/23/2016
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