Organization
ON COURSE PSYCHOLOGICAL COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE VANESSA DAISY-ETIENNE PHD (PSYCHOLOGIST)
(516) 255-4100
Entity
Organization
Contact information
Practice address
165 N VILLAGE AVE STE 200, ROCKVILLE CENTRE, NY 11570-3701
(516) 255-4100
(877) 728-0102
Mailing address
165 N VILLAGE AVE STE 200, ROCKVILLE CENTRE, NY 11570-3701
(516) 255-4100
(877) 728-0102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0176671
NY
Other
Enumeration date
05/27/2013
Last updated
07/26/2022
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